Keumhong Yoo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001707 Issued in CT

Practice address

3355 Main St
Stratford, CT 06614-4845

Phone

(203) 381-9703

Fax

(203) 381-9802

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back to Health Chiropractic of Stratford PC

  • Chiropractor
  • Stratford, CT
  • NPI 1497921449
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1891910816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144845",
            "telephone_number": "203-381-9703",
            "fax_number": "203-381-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144845",
            "telephone_number": "203-381-9703",
            "fax_number": "203-381-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "KEUMHONG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12724992",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "001707",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuhui Xu, M.D.,PHD
• Yale Comfort Shoe Center LLC (Yale Comfort Shoe-Yale Surgical)
• Yale Surgical O&P, LLC
• Panayotes Yannopoulos, MD
• Josh A Yoffe, CRNA
• Su Jeong Yoon
• Meitta L Young, AMFT
• Michelle Yu, PHARMD
• Mark Lee Zamat, D.D.S
• Kelly Marie Zando, LMSW

• Chiropractor in Stratford, CT
• Providers in Stratford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.