DR. YONG DAE CHO (NPI# 1023009198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023009198 |
| Entity Type | Individual |
| Full Name | DR. YONG DAE CHO |
| Credential | M.D. |
| Practice Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7246326801 |
| Practice Fax Number | 7246326312 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD033170L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 000127126 | 01 |
| PA | 1739438 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346527686 | Yong Cho II | Pharmacist | 11 Young Ave, East Longmeadow, MA 01028-2028 | 2011-11-15 |
| 1083146203 | Yong Jun Cho | Student in an Organized Health Care Education/Training Program | 10 Union Sq E, Suite 3k - Room 3k41, New York, NY 10003-3314 | 2017-03-28 |
| 1407856925 | Yong Cho | Family Medicine | 1808 Sherman Dr, Ste 2201, Princeton, IN 47670-1043 | 2005-07-27 |
| Street Address |
1070 OLD NATIONAL PIKE |
| City | FREDERICKTOWN |
| State | PA |
| Zip Code | 15333-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286999 | Christina Lombard | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-08-18 |
| 1699301721 | Janet Lynn Geramita | Dental Hygienist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-03-20 |
| 1912543422 | Daniel Ryan Hinderliter | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-11-19 |
| 1073163689 | Maryann Fee | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-09-16 |
| 1790247732 | Cassie Davis | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-04-01 |
| 1891251625 | Amber Marie Prebeg | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-02-17 |
| 1538637517 | Amy Florence | Social Worker | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-11-07 |
| 1003397365 | Alexandria Marie Bakos | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-08-24 |
| 1417434358 | Gary Butler II | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-07-24 |
| 1114433729 | Jill Marie Miscovich | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2017-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1871079962 | Centerville Clinics Inc | Social Worker | Beth Center Elementary School, 194 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1235181124 | James William Davis IIi | Dentist | 1070 Old National Pike Road, Fredericktown, PA 15333 | 2006-05-17 |
| 1336126937 | Marsha Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2005-12-27 |
| 1881878361 | Marsha Lee Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2007-12-20 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1720339393 | Centervillle Clinics, Inc | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2012-09-24 |
| 1073656559 | Bethlehem-center School District | Local Education Agency (LEA) | 194 Crawford Rd, Fredericktown, PA 15333-2012 | 2007-02-15 |
| 1699249508 | Scott Robert Hargraves | Physical Therapist | 205 Ridgewood Dr, Fredericktown, PA 15333-2020 | 2019-01-14 |
| 1902861925 | Michelle Renee Stepp | Chiropractor | 3317 Route 40, Fredericktown, PA 15333-2111 | 2006-04-20 |
| Find all providers in zip 15333 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060472 | Fredericktown Family Practice | Family Medicine | 16361 Village Pkwy, Fredericktown, OH 43019-9585 | 2007-02-15 |
| 1881705564 | Michael D Robbins | Family Medicine | 355 N Chamber Dr, Fredericktown, MO 63645-7947 | 2006-08-31 |
| 1821032152 | Matthew Bradley Smith | Family Medicine | 122 Columbus Rd, Fredericktown, OH 43019-1266 | 2006-06-16 |
| 1407805732 | Phillip Marion Beyer | Family Medicine | 735 W Main St, Fredericktown, MO 63645-1113 | 2006-05-05 |
| 1063075752 | Brandi Nichole Tabor | Family Medicine | 735 W Main St, Fredericktown, MO 63645-1113 | 2019-04-17 |
| 1134695703 | Community Health Care Associates, Inc | Family Medicine | 735 W Main St, Fredericktown, MO 63645-1113 | 2018-10-22 |
| 1124273875 | Amber Lyn Daugherty | Family Medicine | 16361 Village Pkwy, Fredericktown, OH 43019-9585 | 2008-11-21 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1932277498 | Eric K Davis | Family Medicine | 611 W Main St, Fredericktown, MO 63645-1111 | 2006-12-01 |
| 1952408957 | Aaron L Wilson | Family Medicine | 122 Columbus Rd, American Health Network of Ohio PC, Fredericktown, OH 43019-1266 | 2006-09-20 |
| Find all providers in FREDERICKTOWN | ||||
| City | FREDERICKTOWN |
| Zip Code | 15333 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.