SANGBUM JOO (NPI# 1336480888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336480888 |
| Entity Type | Individual |
| Full Name | SANGBUM JOO |
| Credential | D.C. |
| Practice Address |
101 Lakeforest Blvd Ste 395 Gaithersburg MD 20877-2611 |
| Mailing Address |
108 Olde Towne Ave Apt 213 Gaithersburg MD 20877-2096 |
| Practice Telephone | 9194027551 |
| Mailing Telephone | (919) 402-7551 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S03901 | MD | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 4338 | NC | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10208 Cerny St, Suite 205, Raleigh, NC 276177884 | 9194027551 | 9194052005 |
| Street Address |
101 LAKEFOREST BLVD STE 395 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750802831 | Gaithersburg Wellness Center | Chiropractor | 101 Lakeforest Blvd Ste 395, Gaithersburg, MD 20877-2611 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262281 | Matthew Tilkin | Chiropractor | 18310 Montgomery Village Ave Ste 120, Gaithersburg, MD 20879-3556 | 2019-08-30 |
| 1023441540 | Cheng Tan | Chiropractor | 18514 Office Park Dr, Montgomery Village Ave, Gaithersburg, MD 20886-0585 | 2013-08-20 |
| 1134478407 | Adjei Mensah | Chiropractor | 1 Whetstone Dr, Gaithersburg, MD 20877-2729 | 2012-09-02 |
| 1902160898 | Acute Spine Therapy & Rehab, LLC | Chiropractor | 20 Montgomery Village Ave, Suite A, Gaithersburg, MD 20879-3581 | 2012-06-26 |
| 1205116159 | Life Chiropractic of Gaithersburg | Chiropractor | 461 S Frederick Ave, Gaithersburg, MD 20877-2326 | 2011-08-24 |
| 1417246463 | Jung Eun Choi | Chiropractor | 481 N Frederick Ave Ste 230, Gaithersburg, MD 20877-2471 | 2011-03-30 |
| 1750609160 | Chiropractic and Wellness Center.inc | Chiropractor | 438 N Frederick Ave Ste 435, Gaithersburg, MD 20877-2562 | 2010-05-10 |
| 1740476753 | Clark Chiropractic Center, Inc. | Chiropractor | 418 E Diamond Ave, Gaithersburg, MD 20877-3018 | 2007-09-24 |
| 1538372008 | Grace E Lohr | Chiropractor | 15968 Shady Grove Road, Gaithersburg, MD 20877 | 2007-05-08 |
| 1568680924 | James Alexander White | Chiropractor | 18215 Flower Hill Way Ste A, Gaithersburg, MD 20879-5393 | 2007-04-23 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.