Individual provider Active NPI

Steve Hwan-Soo Choi, M.D.

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1730186370
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84111 Issued in OH
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

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2511455MedicaidOH
3810026164MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000788 OH Practitioner - Family Practice 1951372051 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84111OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Urgent Care Specialists, LLC CurrentSince May 1, 2012 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 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.

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

Verify at the official NPI Registry.