Active NPI
Su-Chiao Kuo, MD
- Hematology & Oncology Physician
- Brunswick, OH
National Provider Identifier
1669451597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35052983
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0685950 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35052983 | OH | MD | Hematology & Oncology Physician |
Interoperability endpoints
- 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.