JUNG JOO SUH MD NPI 1447285879

NPI Information

NPI: 1447285879
Provider Name: JUNG JOO SUH, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
485 W MARKET ST
TIFFIN, OH
ZIP 44883
Phone: (419) 447-3130
Get Directions

Jung Joo Suh, MD is a diagnostic radiology radiology in Tiffin, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jung Joo Suh, MD NPI is 1447285879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

485 W MARKET ST
TIFFIN, OH
ZIP 44883
Phone: (419) 447-3130
Fax: (419) 447-3155

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/2/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	35047323S	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000024792	OTHER	OHIO	BCBS GROUP PIN
2	E30114	MEDICARE UPIN
3	0359400	MEDICAID	OHIO
4	9122391	MEDICARE ID-TYPE UNSPECIFIED	OHIO	GROUP
5	9122391	MEDICARE PIN	OHIO
6	CK3646	OTHER	OHIO	MEDICARE RR GROUP PIN
7	0640011	MEDICARE ID-TYPE UNSPECIFIED	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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