Active NPI
Kuo Fon Huang, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 111359
- Practice address
- 1235 E Cherokee St
Springfield, MO 65804-2203 - Phone
- (417) 820-3960
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME158508 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 111359 | MO | Primary |
Addresses
Primary practice location
1235 E Cherokee St
Springfield, MO 65804-2203
Mailing address
14100 Fivay Rd Ste 300
Hudson, FL 34667-7160
Phone (727) 372-4417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208643312 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Texas Medical Branch at Galveston, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
310 Mercy Clinic Joplin Cardiac Thoraci
Joplin, MO 64804-4524
Phone (417) 556-8600
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600
601 W Maple Ave
Springdale, AR 72764-5374
601 W Maple Ave
Springdale, AR 72764-5378
609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 757-8001
Hospital & facility affiliations
- Mercy Hospital Springfield
- Northwest Medical Center-Springdale
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111359 | MO | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physicians LLC | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
2708 S Rife Medical Ln
Ste 210
Rogers, AR 72758
Phone (479) 338-3888
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
601 W Maple Ave
Ste 704
Springdale, AR 72764
Phone (479) 521-2752
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
100 Mercy Way
Ste 310
Joplin, MO 64804
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
625 S New Ballas Rd
#R7040
Saint Louis, MO 63141
10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
Interoperability endpoints
- kuo.huang.1@2229.direct.athenahealth.com
- khuang1074@directb.mercy.net
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Saint Louis, MO
- NPI 1538181466
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1528192416
-
- Multi-Specialty Clinic/Center
- Bella Vista, AR
- NPI 1396173514
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1205137536
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Specialist
- St Petersburg, FL
- NPI 1811940802
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1710048822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 FIVAY RD STE 300",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677160",
"telephone_number": "727-372-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E CHEROKEE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042203",
"telephone_number": "417-820-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "KUO",
"middle_name": "FON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME158508",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MO",
"license": "111359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208643312",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.