Active NPI
Jang Cho
- Student in an Organized Health Care Education/Training Program
- Ann Arbor, MI
National Provider Identifier
1659018950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 4351049257
- Practice address
- 2800 Plymouth Rd # 35-1411
Ann Arbor, MI 48109-2800 - Phone
- (734) 764-3270
- NPI assigned
- May 18, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351049257 | MI | Primary |
Addresses
Primary practice location
2800 Plymouth Rd # 35-1411
Ann Arbor, MI 48109-2800
Mailing address
2800 Plymouth Rd # 35-1411
Ann Arbor, MI 48109-2800
Phone (734) 764-3270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260403002076 | WA | Order and Referring Only - Pathology | 9739664012 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351049257 | MI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1659018950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 PLYMOUTH RD # 35-1411",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481092800",
"telephone_number": "734-764-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 PLYMOUTH RD # 35-1411",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481092800",
"telephone_number": "734-764-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "JANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351049257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.