Individual provider Active NPI

John Yoonsik Oh, MD

  • Aerospace Medicine Physician
  • Jbsa Randolph, TX
National Provider Identifier
1982685566
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
MD-055021-L Issued in PA
Practice address
221 Third St, BLDG 1040
Attn: 359 MDG/SGHQ
Jbsa Randolph, TX 78150
Phone
(210) 652-8544
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-055021-L PA
Aerospace Medicine Physician 2083A0100X MD-055021-L PA Primary

Addresses

Primary practice location

221 Third St, BLDG 1040
Attn: 359 MDG/SGHQ
Jbsa Randolph, TX 78150

Mailing address

221 Third St, BLDG 1040
Attn: 359 MDG/SGHQ
Jbsa Randolph, TX 78150
Phone (210) 652-8544

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-055021-LPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1982685566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 THIRD ST, BLDG 1040",
            "address_2": "ATTN: 359 MDG/SGHQ",
            "city": "JBSA RANDOLPH",
            "state": "TX",
            "postal_code": "78150",
            "telephone_number": "210-652-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 THIRD ST, BLDG 1040",
            "address_2": "ATTN: 359 MDG/SGHQ",
            "city": "JBSA RANDOLPH",
            "state": "TX",
            "postal_code": "78150",
            "telephone_number": "210-652-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JOHN",
        "middle_name": "YOONSIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-055021-L",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "PA",
            "license": "MD-055021-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Randolph, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.