Active NPI
Heung Kil Oh, MD
- Surgery Physician
- Detroit, MI
National Provider Identifier
1881707172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301034672
- Practice address
- 22101 Moross Rd
PB2 Suite 480 Sjhmc Department of Transplant Surgery
Detroit, MI 48236 - Phone
- (313) 343-3048
- Fax
- (313) 343-7349
- NPI assigned
- Aug 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301034672 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
PB2 Suite 480 Sjhmc Department of Transplant Surgery
Detroit, MI 48236
Mailing address
22101 Moross Rd
PB2 Suite 480
Detroit, MI 48236
Phone (313) 343-3048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2625932 | Medicaid | MI |
Other names 1
- Henry Oh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Henry Ford Health St. John Hospital | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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 Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1881707172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"address_2": "PB2 SUITE 480",
"city": "DETROIT",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-343-3048",
"fax_number": "313-343-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"address_2": "PB2 SUITE 480 SJHMC DEPARTMENT OF TRANSPLANT SURGERY",
"city": "DETROIT",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-343-3048",
"fax_number": "313-343-7349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "HEUNG",
"middle_name": "KIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301034672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2625932",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HENRY",
"last_name": "OH",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.