DR. GRACE KYUNG-EUN SUH (NPI# 1619033065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619033065 |
| Entity Type | Individual |
| Full Name | DR. GRACE KYUNG-EUN SUH |
| Credential | M.D. |
| Practice Address |
200 High Park Ave Goshen IN 46526-4810 |
| Practice Telephone | 5743642888 |
| Practice Fax Number | 5743642590 |
| Mailing Telephone | 5743642888 |
| Mailing Fax Number | 5743642590 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2013-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M6902 | TX | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
1619033065 | IN | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
1619033065 | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 044463 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201020800 | 05 | |
| CT | FED DEA | BS9898505 | 01 |
| TX | TEXAS MEDICAL BOARD | M6902 | 01 |
| CT | CT PHYSICIAN LICENSE | 044463 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780938894 | Grace Suh | Occupational Therapist | 12528 Pacino St, Cerritos, CA 90703-7112 | 2012-10-29 |
| 1043722440 | Grace Suh | Speech-Language Pathologist | 1 Stevenson Dr, Lincolnshire, IL 60069-2824 | 2017-10-26 |
| 1093188013 | Grace Suh | Counselor | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2015-11-12 |
| Street Address |
200 HIGH PARK AVE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255339537 | Helen Winer-muram | Radiology | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-12 |
| 1295336642 | Marlise Ann Webber | Nurse Practitioner | 200 High Park Ave, Goshen, IN 46526-4810 | 2020-11-03 |
| 1952940538 | Adrianne Osano | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-12-31 |
| 1427695642 | Neltje Ribbens | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-12-06 |
| 1144885013 | Devon Lee Perkins | Physician Assistant | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-05-07 |
| 1699232553 | Maya Bar-zvi | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-02-27 |
| 1689164477 | Grace Catherine Darnell | Registered Nurse | 200 High Park Ave, Goshen, IN 46526-4810 | 2018-05-16 |
| 1750881991 | Bethany Swope | Marriage & Family Therapist | 200 High Park Ave, Goshen, IN 46526-4810 | 2018-02-14 |
| 1881102168 | Leon Carroll Coody Jr. | Nurse Practitioner | 200 High Park Ave, Goshen, IN 46526-4810 | 2018-01-20 |
| 1386169530 | Ashley Outman | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2017-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588906168 | Vinod Kondragunta | Internal Medicine | 200 High Park Ave, Goshen, IN 46526-4810 | 2013-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133555 | Horizon Medical Group, Inc | Internal Medicine | 1345 Unity Pl Ste 345, Lafayette, IN 47905-5761 | 2017-09-28 |
| 1346515665 | Coleman Obasaju | Internal Medicine | 12098 Ashcroft Pl, Carmel, IN 46032-8901 | 2012-03-20 |
| 1780918987 | Union Associated Physicians Clinic, LLC | Internal Medicine | 1711 No. 6 1/2 Street, Hux Cancer Center, Suite 200, Terre Haute, IN 47804-4018 | 2009-09-22 |
| 1902038060 | Waldo I Ortuzar | Internal Medicine | 13869 Kickapoo Tr., Carmel, IN 46033-8545 | 2009-08-21 |
| 1558562371 | Cecilia Choi | Internal Medicine | 1100 Reid Pkwy Ste 105, Richmond, IN 47374-1157 | 2007-05-30 |
| 1669419867 | Roberto Pili | Internal Medicine | 1030 W Michigan St, Indianapolis, IN 46202-5201 | 2006-05-31 |
| 1275597650 | William S Kamanda | Internal Medicine | 53760 Generations Dr, South Bend, IN 46635-1539 | 2006-04-13 |
| 1760451413 | Vijaya Kakani | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-03-15 |
| 1982685533 | Rathipriya Mahendran | Internal Medicine | 831 Theatre Drive, Marion, IN 46952-4470 | 2005-11-10 |
| 1750372819 | Robert J Steele | Internal Medicine | 806 S Berkley Rd, Kokomo, IN 46901-5110 | 2005-10-28 |
| Find all providers with the same taxonomy | ||||
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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.