JAHOON KOO (NPI# 1871912519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871912519 |
| Entity Type | Individual |
| Full Name | JAHOON KOO |
| Credential | M.D. |
| Practice Address |
1700 Coffee Rd Modesto CA 95355 |
| Mailing Address |
220 Standiford Ave Ste F Modesto CA 95350-1159 |
| Practice Telephone | 2095795628 |
| Practice Fax Number | 2095795637 |
| Mailing Telephone | 2095795628 |
| Mailing Fax Number | 2095795637 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A140169 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
A140169 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554209 | Jahoon Koo | Nurse Practitioner | 24 Hospital Lane Calais, Calais, ME 04619 | 2018-07-17 |
| Street Address |
1700 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629059746 | Sutter Central Valley Hospitals | Clinical Medical Laboratory | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2005-11-07 |
| 1356962732 | Nicole Laura | Physical Therapist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-04-27 |
| 1275153314 | Christopher Lucas | Pharmacist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-04-18 |
| 1366077323 | Nicole Kathleen Boere | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-03-10 |
| 1235770165 | P. Curly Johnson | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-10-02 |
| 1932758596 | Samantha Megan Allen | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-09-06 |
| 1215592324 | Brittany Henson | Physical Therapist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-05-03 |
| 1306317987 | Jacob John Verhoeven | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-12-08 |
| 1164992277 | Jessica Chan | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-12-01 |
| 1851875397 | John Paul Blanchard | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023575693 | Adventist Health Physicians Network | Surgery | 200 W Roseburg Ave Ste B1, Modesto, CA 95350-5200 | 2019-03-01 |
| 1790714541 | Fereydoun Azadi | Surgery | 1401 Spanos Ct Ste 127, Modesto, CA 95355 | 2006-07-02 |
| 1881647360 | Paul W Embree | Surgery | 4543 Roselle Av, Modesto, CA 95357 | 2006-05-18 |
| 1063479301 | Patrick James Coates | Surgery | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2006-04-28 |
| 1053308197 | Calvin M Lee | Surgery | 2336 Sylvan Ave, Ste C, Modesto, CA 95355-9294 | 2005-10-04 |
| 1366824161 | Surgical Associates Inc | Surgery | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2015-06-29 |
| 1316388325 | Andrew T Huber | Surgery | 1552 Coffee Rd Ste 200, Modesto, CA 95355 | 2013-07-08 |
| 1841636123 | Rachel Hyunah Teng | Surgery | 1541 Florida Ave Ste 200, Modesto, CA 95350 | 2013-05-14 |
| 1942551049 | Behnam Seyed Jazayeri-moghadass | Surgery | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-09-28 |
| 1467763300 | Noran Barry | Surgery | 600 Coffee Rd, Modesto, CA 95355-4201 | 2010-06-25 |
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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.