DR. DICKEN SHIU-CHUNG KO


Address: 2 Dudley St Ste 175, Providence, RI 02905-3246
Phone: 4014210710

DR. DICKEN SHIU-CHUNG KO (NPI# 1083604219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083604219
Entity Type Individual
Full Name DR. DICKEN SHIU-CHUNG KO
Credential MD
Practice Address 2 Dudley St Ste 175
Providence
RI 02905-3246
Mailing Address 75 Newman Ave Ste 100
Rumford
RI 02916-3603
Practice Telephone 4014210710
Practice Fax Number 4014210796
Mailing Telephone 4018542465
Enumeration Date 2005-10-27
Last Update Date 2020-05-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204F00000X Transplant Surgery 042.0012769 VT Allopathic & Osteopathic Physicians
Y 208800000X Urology 79821 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA BCBS MA J17470 01
MA TUFTS HEALTH PLAN 079821 01
MA 3164845 05

Office Location

Street Address 2 DUDLEY ST STE 175
City PROVIDENCE
State RI
Zip Code 02905-3246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700129236 Gabriella Juliet Avellino Urology 2 Dudley St Ste 175, Providence, RI 02905-3246 2013-04-03
1578539870 Hsi-yang Wu Specialist 2 Dudley St Ste 175, Providence, RI 02905-3246 2006-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
Find all providers in zip 02905

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336658145 Brown Urology, Inc. Urology 195 Collyer St Ste 104, Providence, RI 02904-1869 2017-09-25
1861652349 Liza M. Aguiar Urology 195 Collyer St 201, Providence, RI 02904-1869 2008-06-10
1841304078 Dragan J Golijanin Urology 2 Dudley St Ste 185, Providence, RI 02905-3247 2006-08-17
1255386868 Providence Urology, LLC Urology 1165 N Main St, Suite 200, Providence, RI 02904-5740 2006-05-23
1508483496 Mohammad Hisham Hout Urology 593 Eddy St, Providence, RI 02903-4923 2020-06-26
1235752478 Faizanahmed I Munshi Urology 593 Eddy St, Providence, RI 02903-4923 2020-05-22
1225650286 Sreeya Sai Komaravolu Urology 593 Eddy St, Providence, RI 02903-4923 2020-05-13
1154988004 Kathleen Chace Urology Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 2019-05-28
1538620760 Sarah Anne Moore Urology 593 Eddy St, Providence, RI 02903 2019-03-29
1720570872 Rachel Morgan Greenberg Urology 593 Eddy St, Providence, RI 02903-4923 2018-06-05
Find all providers in PROVIDENCE

Competitor

Search similar providers

City PROVIDENCE
Zip Code 02905

Improve Information

Please comment or provide details below to improve the information on DR. DICKEN SHIU-CHUNG KO.

Dataset Information

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.

Trending Searches