MICKEY JUSTIN MYLES KUO (NPI# 1982090692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982090692 |
| Entity Type | Individual |
| Full Name | MICKEY JUSTIN MYLES KUO |
| Credential | M.D. |
| Practice Address |
Bg 10 Rm 13n268 10 Center Dr Bethesda MD 20814 |
| Practice Telephone | 3015947487 |
| Mailing Telephone | 3015947487 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125067676 | IL | Allopathic & Osteopathic Physicians |
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
D0087738 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 | 7082165368 | 7082163375 |
| Street Address |
BG 10 RM 13N268 10 CENTER DR |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335572 | Marcelo J. A. Amar | Medical Genetics | 10 Center Drive 5d03, Bethesda, MD 20892-0001 | 2020-04-24 |
| 1477985851 | Maximilian Muenke | Medical Genetics | 5131 Dudley Ln, Bethesda, MD 20814-5429 | 2013-08-07 |
| 1013279330 | Sho T Yano | Medical Genetics | 35 Convent Drive Msc 3717 Building 35 Rm 1b202, Bethesda, MD 20892-1425 | 2012-06-12 |
| 1467756585 | Ellen Sidransky | Medical Genetics | 351a213 Convent Dr, Bethesda, MD 20892-0001 | 2011-01-04 |
| 1730418963 | Rafael Daniel Camerini-otero | Medical Genetics | Building 5, Room 201, Nih, Bethesda, MD 20892-0538 | 2009-12-17 |
| 1871829648 | Leslie Glenn Biesecker | Medical Genetics | 49 Convent Dr Rm 4a56, Bethesda, MD 20892-0001 | 2009-10-28 |
| 1992948582 | William Allen Gahl | Medical Genetics | 10 Center Drive Msc 1851, Bldg. 10, Room 10c-103, Nhgri, Nih, Bethesda, MD 20892-0001 | 2009-04-12 |
| 1750554952 | Meral Gunay-aygun | Medical Genetics | Nhgri 10 Center Dr Bldg 10, Rm 10c103, Bethesda, MD 20892-0001 | 2008-04-08 |
| 1932251121 | Nicola C Ho | Medical Genetics | 8315 North Brook Lane, #604, Bethesda, MD 20814-2648 | 2007-01-17 |
| 1699799619 | David Raymond Adams | Medical Genetics | Rm 10c103 Bldg 10, 10 Center Drive, Bethesda, MD 20892-0001 | 2006-07-26 |
| Find all providers in BETHESDA | ||||
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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.