Suk Kon Choi, MD

Key facts

NPI

1821056839

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

35041587 (OH)

Practice address

2422 Lake Ave
Ashtabula, OH 44004-4985

Phone

(440) 992-4422

Fax

(440) 997-6507

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Ashtabula County Medical Center Specialist · Ashtabula, OH · NPI 1942247143
  Medicare reassignment Care Compare group NPD OH
• Ashtabula County Medical Center General Acute Care Hospital · Ashtabula, OH · NPI 1285607416
  Care Compare group NPD
• Euclid Hospital Cleveland Clinic Health System General Acute Care Hospital · Euclid, OH · NPI 1457403016
  NPD

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashtabula County Medical Center General Acute Care Hospital · Ashtabula, OH · NPI 1285607416
  Care Compare affiliation Hospital
• Ashtabula Regional Home Health Services Home Health Agency · Ashtabula, OH · NPI 1972507200
  Care Compare affiliation Home health agency
• Caretenders of Cleveland, Inc Home Health Agency · Madison, OH · NPI 1619088705
  Care Compare affiliation Home health agency
• CHS of Ashtabula Inc Home Health Agency · Ashtabula, OH · NPI 1922309731
  Care Compare affiliation Home health agency
• The Cleveland Clinic Foundation General Acute Care Hospital · Cleveland, OH · NPI 1679525919
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashtabula County Medical Center (70 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashtabula Regional Home Health Home health agency · Ashtabula, OH · CCN 367128
• Capital Health Home Care Home health agency · Ashtabula, OH · CCN 367251
• Caretenders Home health agency · Madison, OH · CCN 367548
• Ashtabula County Medical Center Hospital · Ashtabula, OH · CCN 360125
• Cleveland Clinic Hospital · Cleveland, OH · CCN 360180

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schoi164517@direct.ccf.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 28, 2017.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1821056839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044985",
            "telephone_number": "440-992-4422",
            "fax_number": "440-997-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044985",
            "telephone_number": "440-992-4422",
            "fax_number": "440-997-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SUK KON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35041587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0364903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Ashtabula, OH · Family Medicine Physician in Ohio