YONG S SUH (NPI# 1407024235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407024235 |
| Entity Type | Organization |
| Organization Name | YONG S SUH |
| Other Organization Name | FOOTCARE OF LEBANON |
| Practice Address |
100 Physicians Way Suite 210 Lebanon TN 37090-8102 |
| Practice Telephone | 6154535440 |
| Practice Fax Number | 6154535441 |
| Mailing Telephone | 6154535440 |
| Mailing Fax Number | 6154535441 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | YONG SUK SUH (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 6154535440 |
| Authorized Official Credential | PODIATRIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DPM425 | TN | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| FOOTCARE OF LEBANON | Doing Business As Name - Organization |
| Street Address |
100 PHYSICIANS WAY SUITE 210 |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1982059317 | Lydia Moore | Nurse Practitioner | 100 Physicians Way, Suite 300, Lebanon, TN 37090-8102 | 2016-05-04 |
| 1962809129 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 120, Lebanon, TN 37090-8102 | 2014-12-03 |
| 1043615644 | Kristina Moore | Physician Assistant | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2014-10-27 |
| 1386073674 | Stacey Atkins | Nurse Practitioner | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2013-11-06 |
| 1437584299 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2013-09-11 |
| 1538407127 | Casey Paige Lewis | Pharmacist | 100 Physicians Way, Lebanon, TN 37090-8102 | 2013-01-16 |
| 1134471725 | Uap Lebanon Endo, LLC | Nurse Anesthetist, Certified Registered | 100 Physicians Way, Ste 340, Lebanon, TN 37090-8102 | 2012-10-08 |
| 1467737999 | Janet Daily | Nurse Practitioner | 100 Physicians Way, Suite 330, Lebanon, TN 37090-8102 | 2011-10-16 |
| 1023327814 | Kristy M Blaney | Registered Nurse | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2010-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| 1801939798 | Prospect, Inc. | In Home Supportive Care | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2007-02-14 |
| 1093262743 | Prospect, Incorporated | Day Training, Developmentally Disabled Services | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2016-09-09 |
| Find all providers in zip 37090 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942691829 | Alice Peck Day Memorial Hospital | Podiatrist | 20 W Park St Ste 320, Lebanon, NH 03766-1322 | 2015-02-12 |
| 1508966862 | Dana Peter Silver | Podiatrist | 129 D Mascoma Street, Lebanon, NH 03766 | 2006-09-25 |
| 1679505911 | Howard J Tzorfas | Podiatrist | 1386 Route 22 West, Lebanon, NJ 08833 | 2006-07-07 |
| 1447251822 | Thomas W Clark | Podiatrist | 918 Russell Dr, Lebanon, PA 17042-7485 | 2005-08-09 |
| 1629076021 | David A Weik | Podiatrist | 1 Perryman St, Lebanon, IL 62254-1356 | 2005-07-09 |
| 1003819848 | Joseph M Moran | Podiatrist | 210 Mound St, Lebanon, OH 45036-1937 | 2005-05-24 |
| 1457766842 | Tania Kapila | Podiatrist | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2014-06-25 |
| 1487090809 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 1470 N Broadway St, Suite 120, Lebanon, OH 45036-1744 | 2013-05-13 |
| 1134409246 | Center City Podiatry Associates, PC | Podiatrist | 618 Cornwall Rd, Lebanon, PA 17042-7089 | 2011-08-19 |
| 1538468004 | Abigail Sue Adams Scott | Podiatrist | 2705 N Lebanon St, Suite 305, Lebanon, IN 46052-8621 | 2011-03-22 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on YONG S SUH.
| 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.