Active NPI
Steve Hwan-Soo Choi, M.D.
- Family Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 84111
- Practice address
- 6210 Brandt Pike
Dayton, OH 45424 - Phone
- (937) 236-8630
- Fax
- (937) 236-8635
- NPI assigned
- Jun 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 84111 | OH | Primary |
Addresses
Primary practice location
6210 Brandt Pike
Dayton, OH 45424
Mailing address
6210 Brandt Pike
Dayton, OH 45424
Phone (937) 236-8630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2511455 | Medicaid | OH | |
| 3810026164 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84111 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Urgent Care Specialists, LLC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Back & Spine Center of West Chester Inc | Past | Accepting new patients |
Locations
1430 Oak Ct
Ste 100
Beavercreek, OH 45430
Phone (937) 404-1101
4300 Clime Rd
Ste 110
Columbus, OH 43228
Phone (614) 272-1100
1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
2055 S Limestone St
Springfield, OH 45505
Phone (937) 271-0066
1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066
101 S Orange St
Xenia, OH 45385
Phone (937) 271-0066
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1114957123
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
-
- Chiropractor
- West Chester, OH
- NPI 1336212406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1730186370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 BRANDT PIKE",
"city": "DAYTON",
"state": "OH",
"postal_code": "45424",
"telephone_number": "937-236-8630",
"fax_number": "937-236-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 BRANDT PIKE",
"city": "DAYTON",
"state": "OH",
"postal_code": "45424",
"telephone_number": "937-236-8630",
"fax_number": "937-236-8635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "STEVE",
"middle_name": "HWAN-SOO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "84111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2511455",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810026164",
"state": "WV"
}
],
"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 Jun 9, 2015; 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.