SOO JI MUN (NPI# 1275151870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275151870 |
| Entity Type | Individual |
| Full Name | SOO JI MUN |
| Practice Address |
3049 Gedney Circle Blythewood SC 29016 |
| Practice Telephone | 2038191751 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3049 GEDNEY CIRCLE |
| City | BLYTHEWOOD |
| State | SC |
| Zip Code | 29016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600196 | Josie Gandy Drew Britt | Speech-Language Pathologist | Langford Elementary, 480 Langford Road, Blythewood, SC 29016 | 2019-07-12 |
| 1740843093 | Helping Hearts Development Corporation | In Home Supportive Care | 311 Blythewood Road, Blythewood, SC 29016 | 2019-04-22 |
| 1063933125 | Shawn Tyler | Registered Nurse | 1017 Fulmer Road, Blythewood, SC 29016 | 2017-06-29 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1598129512 | Brooke L. Green | Physical Therapy Assistant | 428-3 Mcnulty Road, Blythewood, SC 29016 | 2016-04-06 |
| 1922468909 | Prince George Transport | Ambulance | 200 Louthian Way, Blythewood, SC 29016 | 2016-03-03 |
| 1760849459 | Sherry Macaluso | Counselor | 2008 Old Birch Drive, Blythewood, SC 29016 | 2016-01-26 |
| 1851559629 | John C Cosby Jr Dmd Pa | Dentist | 745 University Village Drive, Blythewood, SC 29016 | 2008-05-29 |
| 1427242031 | Fairfield Medical Associates,pa | Specialist | 428 2 Mcnulty Road, Blythewood, SC 29016 | 2007-08-28 |
| 1124247754 | Brian E. Gray | Physical Therapist | 420-b Mcnulty Road, Blythewood, SC 29016 | 2007-04-24 |
| Find all providers in zip 29016 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754866 | Leslie Anthony | Student in an Organized Health Care Education/Training Program | 184 Merrimont Dr, Blythewood, SC 29016-6800 | 2019-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141327 | Anne M. Stollberg | Student in an Organized Health Care Education/Training Program | 3 Pheasant Ct, Greenville, SC 29607-5441 | 2020-07-15 |
| 1891313292 | Zachary Blake Riggs | Student in an Organized Health Care Education/Training Program | 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 | 2020-07-12 |
| 1144848797 | Katrina Marie Linenko | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 | 2020-07-10 |
| 1790303402 | Kaitlyn Michele Pierce | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 | 2020-07-09 |
| 1932727625 | Kati Mathis | Student in an Organized Health Care Education/Training Program | 907 Canterbury Rd, Anderson, SC 29621-1401 | 2020-07-08 |
| 1316565211 | Erin Maureen Bryant | Student in an Organized Health Care Education/Training Program | 811 Polo Rd Apt 517, Columbia, SC 29223-4426 | 2020-07-08 |
| 1790303634 | Benjamin Dillion | Student in an Organized Health Care Education/Training Program | 800 Alexander Rd Apt 354, Cayce, SC 29033-4383 | 2020-07-08 |
| 1265050132 | Leona Joyce Keller | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 | 2020-07-08 |
| 1922626720 | Brett William Elder | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 | 2020-07-08 |
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEWOOD |
| Zip Code | 29016 |
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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.