DONG KOO (NPI# 1528079688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528079688 |
| Entity Type | Individual |
| Full Name | DONG KOO |
| Credential | MD |
| Practice Address |
812 N Logan Ave Danville IL 61832-3752 |
| Mailing Address |
Po Box 532904 Atlanta GA 30353-2904 |
| Practice Telephone | 2174435000 |
| Mailing Telephone | 2174435000 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE GROUP | DA4244 | 01 |
| IL | RR MEDICARE | P00014471 | 01 |
| IL | 36062653001 | 05 | |
| IL | BCBS | 9232012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366875957 | Dong Koo | Dentist | 8476 Simonds Street Ste 5700, Fort George G. Meade, MD 20755-5700 | 2013-08-19 |
| 1124040720 | Dong Hwan Koo | Psychologist | 10929 South St, Ste 202b, Cerritos, CA 90703-5340 | 2006-07-24 |
| Street Address |
812 N LOGAN AVE |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585267 | Damon C. Green | Anesthesiology | 812 N Logan Ave, Anesthesia, Danville, IL 61832-3752 | 2005-08-15 |
| 1649884354 | Arianna Alexis Watson | Dietitian, Registered | 812 N Logan Ave, Danville, IL 61832-3752 | 2020-09-01 |
| 1821601618 | Rachel Cooper | Dietitian, Registered | 812 N Logan Ave, Danville, IL 61832-3752 | 2020-08-31 |
| 1730738543 | Valorie Lea Mcmillan | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2019-09-05 |
| 1669934865 | Lacey J Youhas | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2019-04-05 |
| 1003370990 | Randi M Morgan | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2019-01-25 |
| 1467921627 | Carter Kenny Mcgowen | Physician Assistant | 812 N Logan Ave, Danville, IL 61832-3752 | 2018-11-17 |
| 1720557341 | Courtney M. Montel | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2018-11-14 |
| 1841770534 | Le Ann Galbraith | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2018-08-21 |
| 1750875340 | Nicole Marie Gowan | Nurse Practitioner | 812 N Logan Ave, Danville, IL 61832-3752 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447548896 | David B Swedlow | Anesthesiology | 2165 Canyon Oak Ln, Danville, CA 94506-2011 | 2011-07-19 |
| 1619024189 | Thomas Martin Schieble | Anesthesiology | 100 N Academy Ave # 20-25, Geisinger Medical Center, Danville, PA 17822-9800 | 2007-01-05 |
| 1457385015 | Madar Bux | Anesthesiology | 217 S Third Street, Danville, KY 40422 | 2006-07-10 |
| 1952347569 | Elizabeth Anne Sutherland | Anesthesiology | 869 Ackerman Dr, Danville, CA 94526-1849 | 2006-06-21 |
| 1649238676 | Mukesh Kumar Nigam | Anesthesiology | 1114 Main Street, Danville Anesthesiologists Inc, Danville, VA 24541-2936 | 2006-05-01 |
| 1629038351 | William Kemerer | Anesthesiology | 3600 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-03-25 |
| 1992778757 | Andrea Zatlin Stark | Anesthesiology | 1182 River Rock Ln, Danville, CA 94526-4004 | 2006-02-10 |
| 1699745646 | William Gregory Devine Jr. | Anesthesiology | 312 W Lexington Ave, Danville, KY 40422-1410 | 2006-01-24 |
| 1871580167 | Michael James Murray | Anesthesiology | 100 North Academy Ave., Danville, PA 17822-2037 | 2005-10-01 |
| 1770585267 | Damon C. Green | Anesthesiology | 812 N Logan Ave, Anesthesia, Danville, IL 61832-3752 | 2005-08-15 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on DONG KOO.
| 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.