Su Min Ko (NPI# 1336375450, PAC ID# 3678627916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1336375450 |
| PAC ID by PECOS | 3678627916 |
| Professional Enrollment ID | I20121203000017 |
| Full Name | Su Min Ko |
| Address |
11166 Fairfax Blvd Suite 105 Fairfax VA 22030-5025 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3459 Saint Johns Ln, Suite 9, Ellicott City, MD 21042-4026 | ||
| 11166 Fairfax Blvd, Suite 105, Fairfax, VA 22030-5025 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 2% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 87% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 80% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 87% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Street Address |
11166 FAIRFAX BLVD SUITE 105 |
| City | FAIRFAX |
| State | VA |
| Zip | 22030-5025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hyosun S Schluge | Nurse Practitioner | Better Life Pain Clinic, Pllc | 11166 Fairfax Blvd, Suite 105, Fairfax, VA 22030-5025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simrit Kahlon | Physician Assistant | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Suzana Jones | Psychologist, Clinical | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Alok Kumar | Psychiatry | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 | |
| Suzanne Cox | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Vikas Mangewala | Psychiatry | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Chin Oh Kim | General Practice | 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0986 | |
| Christina Webster | Clinical Social Worker | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Mimi Tyson | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Umu Benjamin | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| James S Houston | Anesthesiology | Mid Atlantic Pain Management LLC | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0986 |
| Find all physicians in zip 22030 | |||
| City | FAIRFAX |
| Zip Code | 22030 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | FAIRFAX + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Su Min Ko.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.