NPIMap

Organization Active NPI

Professional Emergency Specialists of Southern Ohio

  • Emergency Medicine Physician
  • Dayton, OH
National Provider Identifier
1639157175
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PROFESSIONAL EMERGENCY SPECIALISTS OF SOUTHERN OHIO
Practice address
707 S. Edwin C. Moses Blvd.
Dayton, OH 45408
Phone
(937) 383-1040
Fax
(937) 383-1380
NPI assigned
Jan 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael C Choo, M.D.NPI 1730167297
Title
President
Phone
(937) 383-1040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

707 S. Edwin C. Moses Blvd.
Dayton, OH 45408

Mailing address

PO Box 931267
Cleveland, OH 44193-1484
Phone (440) 777-6017

National Provider Directory

National Provider Directory

Locations

610 Main St
Cleveland, OH 44193
Phone (419) 843-2268

Practitioners & affiliated clinicians

Practitioners 88

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 88

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639157175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931267",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931484",
            "telephone_number": "440-777-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S. EDWIN C. MOSES BLVD.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45408",
            "telephone_number": "937-383-1040",
            "fax_number": "937-383-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EMERGENCY SPECIALISTS OF SOUTHERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-383-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.