Sam B Koo (NPI# 1396911087, PAC ID# 5991837502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
| Nation Provider ID (NPI) | 1396911087 |
| PAC ID by PECOS | 5991837502 |
| Professional Enrollment ID | I20100717000161 |
| Full Name | Sam B Koo |
| Organization Legal Name | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| Address |
1360 E State Rd Suite 46 Batesville IN 47006-9269 |
| Phone Number | 5133543700 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | HAND SURGERY |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0345136412 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360134 | GOOD SAMARITAN HOSPITAL |
| 360179 | BETHESDA NORTH |
| Address | Phone | Organization |
|---|---|---|
| 1360 E State Rd, Suite 46, Batesville, IN 47006-9269 | 5133543700 | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| 500 E Business Way, Cincinnati, OH 45241-2374 | 5132517827 | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| 6480 Harrison Ave, Cincinnati, OH 45247-7821 | 5133543700 | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| 600 Rodeo Dr, Erlanger, KY 41018-1279 | 5133543700 | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| 605 Wilson Creek Rd, Lawrencebrug, IN 47025-1074 | 5133543700 | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| Organization Legal Name | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| Physicians | 94 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haleem Chaudhary | Orthopedic Surgery | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Kevin David Wilson | Physical Therapy | Beacon Orthopaedics and Sports Medicine Ltd | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 |
| Michael T Rohmiller | Orthopedic Surgery | Beacon Orthopaedics and Sports Medicine Ltd | 500 E Business Way, Cincinnati, OH 45241-2374 |
| David H Sower | Sports Medicine | Beacon Orthopaedics and Sports Medicine Ltd | 600 Rodeo Dr, Erlanger, KY 41018-1279 |
| Jamie L Miller | Physician Assistant | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Joel D Bella | Physical Therapy | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Christine Michelle Sweeney | Physical Therapy | Beacon Orthopaedics and Sports Medicine Ltd | 500 E Business Way, Cincinnati, OH 45241-2374 |
| Erika M Ripperger | Physician Assistant | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Henry A Stiene | Internal Medicine | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Michael D Bennett | Physician Assistant | Beacon Orthopaedics and Sports Medicine Ltd | 500 E Business Way, Cincinnati, OH 45241-2374 |
| Street Address |
1360 E STATE RD SUITE 46 |
| City | BATESVILLE |
| State | IN |
| Zip | 47006-9269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohab B Foad | Hand Surgery | Beacon Orthopaedics and Sports Medicine Ltd | 1360 E State Rd, Suite 46, Batesville, IN 47006-9269 |
| Katharine R Carroll | Physician Assistant | Beacon Orthopaedics and Sports Medicine Ltd | 1360 E State Rd, Suite 46, Batesville, IN 47006-9269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Harmon | Clinical Social Worker | Community Mental Health Center Inc. | 16 N Park Ave, Batesville, IN 47006-1249 |
| Melody A Gongwer | Psychiatry | Community Mental Health Center Inc. | 16 N Park Ave, Batesville, IN 47006-1249 |
| Brian J Albers | General Surgery | Margaret Mary Community Hospital Inc | 24 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| James M Browne Ii | Diagnostic Radiology | Insight Diagnostic Imaging LLC | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| William G Mcdonald Iii | Orthopedic Surgery | Margaret Mary Community Hospital Inc | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Purnendu P Datta | Internal Medicine | Decatur County Memorial Hospital | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Douglas Anthony Bruns | Diagnostic Radiology | Insight Diagnostic Imaging LLC | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Thomas M Brown | Obstetrics/gynecology | Margaret Mary Community Hospital Inc | 24 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Jennifer L Fletcher | Family Medicine | Decatur County Memorial Hospital | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Thomas F Imperiale | Gastroenterology | Margaret Mary Community Hospital Inc | 24 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Find all physicians in zip 47006 | |||
| City | BATESVILLE |
| Zip Code | 47006 |
| Specialty | HAND SURGERY |
| City + Specialty | BATESVILLE + HAND SURGERY |
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| 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.