Individual provider Active NPI

Su-Chiao Kuo, MD

  • Hematology & Oncology Physician
  • Brunswick, OH
National Provider Identifier
1669451597
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35052983 Issued in OH
Practice address
3724 Center Rd
Suite 102
Brunswick, OH 44212
Phone
(330) 225-7733
Fax
(330) 220-0902
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35052983 OH Primary

Addresses

Primary practice location

3724 Center Rd
Suite 102
Brunswick, OH 44212

Mailing address

3724 Center Rd
Suite 102
Brunswick, OH 44212
Phone (330) 225-7733

Other identifiers 1

IdentifierTypeStateIssuer
0685950MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
35052983OHMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: skuo@direct.swgeneral.com

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1669451597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 CENTER RD",
            "address_2": "SUITE 102",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "44212",
            "telephone_number": "330-225-7733",
            "fax_number": "330-220-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 CENTER RD",
            "address_2": "SUITE 102",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "44212",
            "telephone_number": "330-225-7733",
            "fax_number": "330-220-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "SU-CHIAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35052983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0685950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.