DR. SUNG KYU HENRY OH (NPI# 1093745549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093745549 |
| Entity Type | Individual |
| Full Name | DR. SUNG KYU HENRY OH |
| Credential | M.D. |
| Practice Address |
1820 S Broad St Philadelphia PA 19145-2303 |
| Mailing Address |
717 Hollow Rd Radnor PA 19087-2803 |
| Practice Telephone | 2154687722 |
| Practice Fax Number | 2154687729 |
| Mailing Telephone | 6106889012 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD-032826L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE HP EAST PROVIDER | 0052854000 | 01 |
| PA | KEYSTONE HP EAST PRACTICE | 2049009000 | 01 |
| PA | 0615534 | 05 | |
| PA | AETNA HMO PROVIDER # | 2665885 | 01 |
| PA | CIGNA PROVIDER # | 6204959B | 01 |
| PA | AETNA PPO PROVIDER # | 5523080 | 01 |
| Street Address |
1820 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669683256 | Advanced Women's Care PC | Obstetrics & Gynecology | 10752 Bustleton Ave Unit C, Philadelphia, PA 19116-3367 | 2007-05-24 |
| 1700928611 | Planned Parenthood Southeastern Pennsylvania | Obstetrics & Gynecology | 1211 Chestnut St, Suite 405, Philadelphia, PA 19107-4103 | 2007-02-14 |
| 1023176484 | Marjorie Angert | Obstetrics & Gynecology | 1101 Market St, 9th Floor, Philadelphia, PA 19107-2934 | 2006-12-05 |
| 1104900125 | Dorothy Czarnecki | Obstetrics & Gynecology | 9412 Academy Road, Philadelphia, PA 19114 | 2006-10-25 |
| 1487661070 | Sharan Abdul-rahman | Obstetrics & Gynecology | 322 E Montana St, Philadelphia, PA 19119-2009 | 2006-08-03 |
| 1184643355 | Women's Health, Inc. | Obstetrics & Gynecology | 3336 Aldine St, Philadelphia, PA 19136-3802 | 2006-07-19 |
| 1437177235 | Emerita Torres Gueson | Obstetrics & Gynecology | 3336 Aldine Street, Philadelphia, PA 19136-3802 | 2006-07-18 |
| 1942276050 | Patricia Hughes Jones | Obstetrics & Gynecology | 5235 Walnut St, Philadelphia, PA 19139-4027 | 2006-02-28 |
| 1326040767 | Dinah Gonzalez-braile | Obstetrics & Gynecology | 12265 Townsend Road, Philadelphia, PA 19154-1214 | 2005-08-15 |
| 1326043837 | Robert Seidel Weinstein | Obstetrics & Gynecology | 1521 Locust St, Ste 1000, Philadelphia, PA 19102-3716 | 2005-06-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on DR. SUNG KYU HENRY OH.
| 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.