Active NPI
Daniel Seoyjong Oh, MD
- Radiation Oncology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2013-00093
- Practice address
- 4420 Lake Boone TRL Ste 102
Raleigh, NC 27607-7505 - Phone
- (919) 784-3018
- NPI assigned
- Jun 13, 2008
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 149806 | NC | |
| Radiation Oncology Physician | 2085R0001X | 2013-00093 | NC | Primary |
Addresses
Primary practice location
4420 Lake Boone TRL Ste 102
Raleigh, NC 27607-7505
Mailing address
PO Box 8423
Newco Cancer Services
Greenville, NC 27835-8423
Other practice location 1
600 Moye Blvd
Newco Cancer Service
Greenville, NC 27834-4300
Phone (252) 744-2900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821258765 | Medicaid | NC | |
| 179X4 | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
188 S Main St
Danville, VA 24541-2922
Phone (434) 799-4592
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
- Sovah Health Danville
- Duke University Hospital
- Sentara Halifax Regional Hospital
- Scotland Memorial Hospital
- Duke Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-00093 | NC | MD | Radiation Oncology Physician |
| 149806 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| Scotland Memorial Hospital, Inc | Current | Accepting new patients | |
| The Regional Medical Center of Orangeburg and Calhoun Counties | Radiation Oncology | Current | Accepting new patients |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Medical Oncology | Current | Accepting new patients |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Harris Family Practice PLLC | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients | |
| New Hanover Regional Medical Center | Past | Accepting new patients |
Locations
300 Ashville Ave
Ste 110
Cary, NC 27518
Phone (919) 781-7070
20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400
4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070
1161 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-4600
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
188 S Main St
Danville, VA 24541
Phone (434) 799-4592
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- doh92488@direct.medicine.duke.edu
Organizations & group practices 15
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
Medical Oncology
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
-
- Gastroenterology Physician
- Laurinburg, NC
- NPI 1417173899
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
- Rural Health Clinic/Center
- Danville, VA
- NPI 1548948359
-
- Neurology Physician
- Orangeburg, SC
- NPI 1144940347
-
- Hematology & Oncology Physician
- Orangeburg, SC
- NPI 1497712723
Radiation Oncology
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
-
- General Acute Care Hospital
- Laurinburg, NC
- NPI 1457345597
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
-
- General Acute Care Hospital
- South Boston, VA
- NPI 1588668842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1821258765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8423",
"address_2": "NEWCO CANCER SERVICES",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278358423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 LAKE BOONE TRL STE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077505",
"telephone_number": "919-784-3018"
}
],
"practiceLocations": [
{
"address_1": "600 Moye Blvd",
"address_2": "Newco Cancer Service",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278344300",
"country_code": "US",
"telephone_number": "252-744-2900",
"fax_number": "252-744-2912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OH",
"first_name": "DANIEL",
"middle_name": "SEOYJONG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "149806",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "2013-00093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821258765",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "179X4",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.