DR. MIN K KOO (NPI# 1538374566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538374566 |
| Entity Type | Individual |
| Full Name | DR. MIN K KOO |
| Credential | MD |
| Practice Address |
4425 N Port Washington Road Glendale WI 53212-1082 |
| Mailing Address |
804 Scott Nixon Memorial Drive Augusta GA 30907-2464 |
| Practice Telephone | 4143262108 |
| Practice Fax Number | 4143262155 |
| Mailing Telephone | 8003944445 |
| Mailing Fax Number | 7066501034 |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2011-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 51019 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 125051424 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4425 N PORT WASHINGTON ROAD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| 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 |
|---|---|---|---|---|
| 1437654357 | Anesthesia Medical Practitioners Pllc | Anesthesiology | 5321 W Misty Willow Ln, Glendale, AZ 85310-3732 | 2018-03-25 |
| 1952703803 | Alen Zehnaly, M.d., A Medical Corporation | Anesthesiology | 801 E Chevy Chase Dr, Glendale, CA 91205-3017 | 2014-09-23 |
| 1194082768 | Andrew West | Anesthesiology | 410 Mesa Lila Rd, Glendale, CA 91208-1039 | 2012-04-19 |
| 1922390244 | Andrew Chen | Anesthesiology | 6130 W Louise Dr, Glendale, AZ 85310-4213 | 2011-05-04 |
| 1346481884 | Candice J Williams | Anesthesiology | 1500 E Chevy Chase Dr Ste 101, Glendale, CA 91206 | 2009-03-12 |
| 1831367762 | Ali Nassiri | Anesthesiology | 1809 Verdugo Blvd Ste 140, Glendale, CA 91208-1402 | 2008-02-13 |
| 1780866855 | Lisa Ann Mcginnity | Anesthesiology | 18301 N 79th Ave Ste 150, Glendale, AZ 85308-6045 | 2007-11-30 |
| 1619175833 | Neil Thakkar | Anesthesiology | 7200 W Bell Rd Ste F101, Glendale, AZ 85308-8535 | 2007-07-10 |
| 1164647103 | Robert Young Yum | Anesthesiology | 1922 Caminito Del Pilar, Glendale, CA 91208 | 2007-04-16 |
| 1902901234 | Danielle Z Young | Anesthesiology | 18205 N. 51st Avenue, Bldg. 2, Suite 109, Glendale, AZ 85308-1491 | 2006-09-13 |
| Find all providers in GLENDALE | ||||
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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.