MR. SANG WAN OH (NPI# 1265545115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265545115 |
Entity Type | Individual |
Full Name | MR. SANG WAN OH |
Credential | MD |
Practice Address |
257 South Main Street Reidsville GA 30427 |
Mailing Address |
Po Box 519 Reidsville GA 30453 |
Practice Telephone | 9125574315 |
Practice Fax Number | 9125573338 |
Mailing Telephone | 9125574315 |
Mailing Fax Number | 9125573338 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2012-08-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 16117 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00012317A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467468959 | Sang H Oh | Obstetrics & Gynecology | 200 S Wenona St, Suite #291, Bay City, MI 48706-8820 | 2006-08-01 |
Street Address |
257 SOUTH MAIN STREET |
City | REIDSVILLE |
State | GA |
Zip Code | 30427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972097608 | Carlton Wendell Durrence IIi | Pharmacist | 15214 Us Highway 301, Glennville, GA 30427 | 2018-06-16 |
1790145258 | Lisa Dasher Anderson | Nurse Practitioner | 1000b North Veterans Boulevard, Glennville, GA 30427 | 2016-02-26 |
1902203722 | Kimberly Cason | Radiologic Technologist | 3945 Hwy 301, Glennville, GA 30427 | 2014-11-21 |
1598901696 | Jana Lamb Bunch | Nurse Practitioner | 1000 B. North Veterans Blvd, Glennville, GA 30427 | 2008-12-20 |
1407979420 | Sutton Place | Assisted Living Facility | 306 West Mann Street, Glennville, GA 30427 | 2007-04-06 |
1528192846 | Orthopedic Center PC | Orthopaedic Surgery | 601 S. Main St., Glennville, GA 30427 | 2007-03-16 |
1447339015 | Southern Medical Group | Internal Medicine | 601 S. Veterans Blvd, Glennville, GA 30427 | 2006-11-03 |
1154435550 | Roger W Beville | Family Medicine | 1000 B. North Veterans Boulevard, Glennville, GA 30427 | 2006-08-19 |
1982613568 | Kenneth Lane Durrence | Physical Therapist | 104 W. Rustin St., Glennville, GA 30427 | 2006-08-05 |
1275540932 | Hee-jun Gregory Kim | General Practice | 706 W Barnard St, Glennville, GA 30427 | 2006-08-02 |
Find all providers in zip 30427 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265949788 | Margaret Bowen Md Pllc | General Practice | 1415 Freeway Dr, Reidsville, NC 27320-7105 | 2018-01-05 |
1891046017 | Oh Clinic, P.C. | General Practice | 257 S Main St, Reidsville, GA 30453-4605 | 2012-09-27 |
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Find all providers with the same taxonomy |
City | REIDSVILLE |
Zip Code | 30427 |
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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.