DR. DAVID CHOOHYUN PAIK (NPI# 1053469544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053469544 |
| Entity Type | Individual |
| Full Name | DR. DAVID CHOOHYUN PAIK |
| Credential | M.D. |
| Practice Address |
1100 Walnut St Suite 500 Philadelphia PA 19107-5563 |
| Mailing Address |
615 Chestnut St 14th Floor Philadelphia PA 19106-4404 |
| Practice Telephone | 2159556750 |
| Practice Fax Number | 2159238222 |
| Mailing Telephone | 2159556750 |
| Mailing Fax Number | 2159238222 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 191292 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 191292 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD051898L | PA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 191292 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01765484 | 05 | |
| NJ | 0251151 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124294970 | David Paik | Nuclear Medicine | 10 Lanidex Plz W, Suite 125, Parsippany, NJ 07054-2715 | 2008-05-01 |
| 1023218047 | David Paik | Family Medicine | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2007-07-18 |
| 1871623462 | David Paik | Anesthesiology | 115 Cass Avenue, Woonsocket, RI 02895 | 2007-03-06 |
| Street Address |
1100 WALNUT ST SUITE 500 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193182 | Michael D Stillman | Internal Medicine | 1100 Walnut St, Suite 601, Philadelphia, PA 19107-5563 | 2005-09-02 |
| 1760968150 | Jessica Christina Russo | Genetic Counselor, MS | 1100 Walnut St, Philadelphia, PA 19107-5563 | 2018-07-18 |
| 1326481565 | Jonathan Pan | Internal Medicine | 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 | 2013-04-08 |
| 1891030961 | Lori Pellegrino | Nurse Practitioner | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2012-11-30 |
| 1013281633 | Catherine Gill-preston | Nurse Practitioner | 1100 Walnut St, Mob 7th Floor, Philadelphia, PA 19107-5563 | 2012-02-29 |
| 1316225857 | Shawnna Cannaday | Nurse Practitioner | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-08-02 |
| 1003104274 | Anirudh Kohli | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-07-21 |
| 1730486366 | Michael Pucci | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-02-17 |
| 1801102223 | Matthew William Laporta | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2010-08-23 |
| 1437393634 | Anne L. Rosenberg, M.d. | Specialist | 1100 Walnut St, Suite 303, Philadelphia, PA 19107-5563 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205272127 | Lily Tung | Surgery | 51 N. 39th Street, Suite 120, Philadelphia, PA 19104 | 2013-05-18 |
| 1073741484 | Joseph S Fernandez-moure | Surgery | 51 N 39th St Rm 120, Philadelphia, PA 19104 | 2009-06-24 |
| 1952368136 | Jeremy Wynne Cannon | Surgery | 51 N 39th Street, Suite 120 Mob, Philadelphia, PA 19104 | 2006-04-29 |
| 1285609404 | Ehyal Shweiki | Surgery | 1100 Walnut Street, Mob, 5th Floor, Philadelphia, PA 19107-5563 | 2006-02-21 |
| 1649752684 | Temple Faculty Practice Plan Inc | Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1275921298 | University of Penn-medical Group | Surgery | 51 N 39th St, Mob Suite 120, Philadelphia, PA 19104-2640 | 2014-12-29 |
| 1497168827 | Dane Scantling | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2014-06-03 |
| 1144480153 | Shariq Syed Raza | Surgery | 3509 N Broad St, Gme Office, 2nd Fl, Boyer Pavilion, Temple Univ Hosp, Philadelphia, PA 19140-4105 | 2008-06-12 |
| 1528263829 | Qiong Yang | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2007-06-18 |
| 1184780546 | Mark J Seamon | Surgery | 51 N 39th St, Mob 1st Floor, Suite 120, Philadelphia, PA 19104 | 2006-12-29 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.