DI KHOO (NPI# 1265753131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265753131 |
| Entity Type | Individual |
| Full Name | DI KHOO |
| Credential | M.D. |
| Practice Address |
Bldg H 2005 Knight Lane Attn: Medical Staff Services. Navy Medicine Support Com Jacksonville FL 32212-0140 |
| Mailing Address |
13932 Lighthouse Dr Corpus Christi TX 78418-6136 |
| Practice Telephone | 6195326400 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
BLDG H 2005 KNIGHT LANE ATTN: MEDICAL STAFF SERVICES. NAVY MEDICINE SUPPORT COM |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980550 | Richard Conway | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2005-08-29 |
| 1669023032 | Alek Montgomery | Dentist | Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-09-26 |
| 1134788615 | Hannah Yuni Chung | Dentist | Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-06-10 |
| 1073008819 | Rachel Alexandra Kurcz | Dentist | Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2018-06-25 |
| 1346768231 | Stephan Sidney Barrington | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2017-08-31 |
| 1154842797 | Tae Yung Kim | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212 | 2017-07-05 |
| 1528519147 | Conrad Chou | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-10-19 |
| 1730636903 | Us Navy | Clinic/Center | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-06 |
| 1760834980 | United Stated Navy | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Support Command Attn: Medical Sta, Jacksonville, FL 32212-0140 | 2016-07-12 |
| 1003285453 | Anthony James Marin | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808546 | Patrick S. Merriman | Military Health Care Provider | Navy Medicine Support Command Att: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-20 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1134576390 | Nathan Jamal Pena | Military Health Care Provider | 1320 Bailey Ave, Jacksonville, FL 32228-0028 | 2016-05-18 |
| 1194885442 | Dynela Louise Garcia-baran | Military Health Care Provider | 2168 Brandymill Ln, Jacksonville, NC 28546 | 2006-12-09 |
| 1811517212 | Joseph Nario Lipat | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-04-26 |
| 1043854771 | Trey Jeremy Coke | Military Health Care Provider | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212 | 2019-11-06 |
| 1154825461 | Andrew Charles Caudill | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1124557707 | Sheldon Edwards | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214-5005 | 2017-06-07 |
| 1477940138 | Lisa Daily | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214-5005 | 2015-04-21 |
| 1972808194 | Bernadette Conlin Ohara | Military Health Care Provider | 123 Henderson Dr, Jacksonville, NC 28540-5601 | 2011-01-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
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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.