KWANG JOO (NPI# 1427013341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427013341 |
| Entity Type | Individual |
| Full Name | KWANG JOO |
| Credential | MD |
| Practice Address |
2950 Elmwood Ave Kenmore Mercy Hospital Kenmore NY 14217-1304 |
| Mailing Address |
100 High St Buffalo General Hospital Buffalo NY 14203-1126 |
| Practice Telephone | 7168531616 |
| Practice Fax Number | 7168292348 |
| Mailing Telephone | 7168531616 |
| Mailing Fax Number | 7168292348 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
131744 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00865210 | 05 |
| Street Address |
2950 ELMWOOD AVE KENMORE MERCY HOSPITAL |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734066 | Victoria Paulsen | Anesthesiology | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-06-16 |
| 1659909752 | Kenmore Mercy Hospital | Internal Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-04-01 |
| 1962048793 | David Michael Armstrong | Nurse Practitioner | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-11-27 |
| 1790332443 | Theresa Lynn Jackson | Dietitian, Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-08-19 |
| 1174058549 | Great Lakes Locums LLC | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2017-04-24 |
| 1619424884 | Buffalo Niagara Hospitalist LLC | General Acute Care Hospital | 2950 Elmwood Ave, Kenmore, NY 14217 | 2016-09-06 |
| 1629525167 | Caitlin Elizabeth Ortiz | Nurse Practitioner | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2016-09-01 |
| 1255714762 | Krystal R Burns | Nurse Anesthetist, Certified Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-07-01 |
| 1033591342 | Robert E Baker IIi | Physician Assistant | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-06-23 |
| 1295114601 | Jeffrey Olek | Pharmacist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760906143 | Ebenezer Vander Pallen | Nuclear Medicine | 1366 Victory Blvd # B, Staten Island, NY 10301-3907 | 2017-07-27 |
| 1588104079 | Simkeon Andrew Kang | Nuclear Medicine | 7 Pateman Cir, Menands, NY 12204-1338 | 2017-03-02 |
| 1932593746 | Ghulam Mustafa | Nuclear Medicine | Buffalo General Medical Center. 100 High St, Department of Nuclear Medicine, Buffalo, NY 14203-1126 | 2015-03-19 |
| 1053674671 | Silvina Paola Dutruel | Nuclear Medicine | 525 E 68th St Fl 2, New York, NY 10065-4870 | 2012-06-19 |
| 1912135997 | Sanjit O Tewari | Nuclear Medicine | 9 Friendly Rd, Hicksville, NY 11801-6311 | 2009-06-29 |
| 1548440837 | Sleiman Naddaf | Nuclear Medicine | 565 80th St Apt 3r, Brooklyn, NY 11209-4027 | 2007-11-05 |
| 1548341696 | Xiaojin Lin | Nuclear Medicine | James J. Peters V.a. Medical Ctr, 130 West Kingsbridge Rd, Bronx, NY 10468 | 2006-10-17 |
| 1003902982 | Carlos Javier Homs | Nuclear Medicine | Woodhull Medical and Mental Health Ctr., 760 Broadway, Brooklyn, NY 11206 | 2006-10-05 |
| 1902856784 | Eric J Leichter | Nuclear Medicine | 420 E 58th St, Apt.23a, New York, NY 10022-2345 | 2006-05-11 |
| 1538152517 | Rudolph M Sada, Md | Nuclear Medicine | 521 East Ave, Lockport, NY 14094-3201 | 2005-08-25 |
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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.