Active NPI
Su Wooi Teoh, M.D.
- Otolaryngology Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 200601952
- Practice address
- 3824 N Elm St Ste 201
Greensboro, NC 27455-2733 - Phone
- (336) 542-2015
- Fax
- (336) 542-2017
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 200601952 | NC | Primary |
Addresses
Primary practice location
3824 N Elm St Ste 201
Greensboro, NC 27455-2733
Mailing address
6318 Poplar Forest Dr
Summerfield, NC 27358-9339
Phone (336) 392-0350
Other practice location 1
1132 N Church St
Suite 104
Greensboro, NC 27401-1039
Phone (336) 542-2015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905933 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Southwestern Medical School at Dallas, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3824 N Elm St
Suite 201
Greensboro, NC 27455-2733
Phone (336) 542-2015
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200601952 | NC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Current | Accepting new patients |
Locations
3824 N Elm St
Ste 201
Greensboro, NC 27455
Phone (336) 542-2015
1126 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 235-0866
301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200
1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664
621 S Main St
Ste 205
Reidsville, NC 27320
Phone (336) 342-6880
Interoperability endpoints
- steoh4553@direct.conehealth.com
Organizations & group practices 2
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Reidsville, NC
- NPI 1780004556
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1619033164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6318 POPLAR FOREST DR",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589339",
"telephone_number": "336-392-0350",
"fax_number": "336-542-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 N ELM ST STE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552733",
"telephone_number": "336-542-2015",
"fax_number": "336-542-2017"
}
],
"practiceLocations": [
{
"address_1": "1132 N Church St",
"address_2": "SUITE 104",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274011039",
"country_code": "US",
"telephone_number": "336-542-2015",
"fax_number": "336-542-2017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEOH",
"first_name": "SU WOOI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "200601952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905933",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.