DANIEL SEOYJONG OH (NPI# 1821258765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821258765 |
| Entity Type | Individual |
| Full Name | DANIEL SEOYJONG OH |
| Credential | MD |
| Practice Address |
4420 Lake Boone Trl Ste 102 Raleigh NC 27607-7505 |
| Mailing Address |
Po Box 8423 Newco Cancer Services Greenville NC 27835-8423 |
| Practice Telephone | 9197843018 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2019-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2013-00093 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 149806 | NC | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1821258765 | 05 | |
| NC | BCBS NC | 179X4 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Moye Blvd, Newco Cancer Service, Greenville, NC 278344300 | 2527442900 | 2527442912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978254 | Daniel Jimyong Oh | Pharmacist | 947 S Hoover St Apt 203, Los Angeles, CA 90006-1932 | 2020-09-26 |
| 1942651070 | Daniel T Oh | Emergency Medicine | 112 Bay 35th St, Brooklyn, NY 11214-5308 | 2016-06-30 |
| 1689073041 | Daniel Oh | Dentist | 801 S Paulina St Rm 304g, Chicago, IL 60612 | 2014-08-21 |
| 1962823971 | Daniel Young Oh | Acupuncturist | 6073 North First St., Suite #101, Fresno, CA 93710 | 2013-12-17 |
| 1962599597 | Daniel Youngchul Oh | Dentist | 512 W 17th St, Santa Ana, CA 92706-3678 | 2006-10-06 |
| 1598719288 | Daniel Shin Oh | Dentist | 4827 N Kedzie Ave, Chicago, IL 60625-5206 | 2006-05-19 |
| 1891790614 | Daniel Oh | Surgery | 316 S Stratford Ave, Suite C, Santa Maria, CA 93454-5908 | 2005-06-17 |
| 1861997637 | Daniel Minsuk Oh | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2018-03-26 |
| 1326550690 | Daniel Hyung-sok Oh | Pharmacist | 615 Broadway, Millbrae, CA 94030-1909 | 2017-10-26 |
| 1225567639 | Daniel Young Oh | Pharmacist | 14130 Culver Dr, Suite D, Irvine, CA 92604 | 2017-06-08 |
| Street Address |
4420 LAKE BOONE TRL STE 102 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376516823 | May Lim | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2006-02-07 |
| 1467094607 | Rex Hospital Inc | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2019-10-09 |
| 1972869766 | Stephen Byron Perry Huff | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2012-04-05 |
| 1750336590 | Achilles Fakiris | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2006-05-23 |
| 1881648665 | Justin Wu | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2006-05-19 |
| 1891745352 | Charles Walter Scarantino | Specialist | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
| 1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
| 1992861751 | Courtney Lewis Bui | Radiology | 4420 Lake Boone Trl Ste 120, Raleigh, NC 27607-7505 | 2006-12-28 |
| 1376516823 | May Lim | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2006-02-07 |
| 1467094607 | Rex Hospital Inc | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2019-10-09 |
| 1164880571 | Rex Radiation Oncology, LLC | Radiology | 117 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2016-02-01 |
| 1548656036 | Sarah Jo Stephens | Radiology | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2015-04-10 |
| 1972869766 | Stephen Byron Perry Huff | Radiology | 4420 Lake Boone Trl Ste 102, Raleigh, NC 27607-7505 | 2012-04-05 |
| 1285945600 | Rex Hospital Inc | Radiology | 4420 Lake Boone Trl, Suite 201, Raleigh, NC 27607-7505 | 2010-06-30 |
| 1477788263 | Nathan Sheets | Radiology | 4420 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7505 | 2009-05-21 |
| Find all providers in RALEIGH | ||||
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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.