Individual provider Active NPI

M Jeannette Cho, MD

  • Internal Medicine Physician
  • Uniontown, OH
National Provider Identifier
1497735617
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-06-6006 Issued in OH
Practice address
1402 Boettler Rd Ste C
Uniontown, OH 44685-9584
Phone
(330) 899-0103
Fax
(330) 899-0268
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: m.cho.1@17377.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-06-6006 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1402 Boettler Rd Ste C
Uniontown, OH 44685-9584

Mailing address

1402 Boettler Rd Ste C
Uniontown, OH 44685-9584
Phone (330) 899-0103

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2461376MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2011.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1497735617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BOETTLER RD STE C",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859584",
            "telephone_number": "330-899-0103",
            "fax_number": "330-899-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BOETTLER RD STE C",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859584",
            "telephone_number": "330-899-0103",
            "fax_number": "330-899-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "M",
        "middle_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-06-6006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2461376",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.