SU-MIN OON (NPI# 1356339840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356339840 |
| Entity Type | Individual |
| Full Name | SU-MIN OON |
| Credential | MD |
| Practice Address |
1131 Nw 64th Ter Suite C Gainesville FL 32605-4218 |
| Mailing Address |
777 Hemlock St Macon GA 31201-2102 |
| Practice Telephone | 3523315557 |
| Practice Fax Number | 3523315510 |
| Mailing Telephone | 4786335556 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
ME76691 | FL | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME76691 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261327100 | 05 | |
| FL | AVMED | 276243 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 51058 | 01 |
| Street Address |
1131 NW 64TH TER SUITE C |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245336650 | Valerie Numssen | Pediatrics | 1131 Nw 64th Ter, Suite B, Gainesville, FL 32605-4228 | 2006-09-15 |
| 1336106137 | Romeo E Castillo | Pediatrics | 1131 Nw 64th Ter, Suite B, Gainesville, FL 32605-4228 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881213 | Thomas Raulerson Md and Farm Inc | Anesthesiology | 926 Nw 13th St, Gainesville, FL 32601-4140 | 2017-02-27 |
| 1023556594 | Peter M. Gallogly Inc. | Anesthesiology | 926 Nw 13th St, Gainesville, FL 32601-4140 | 2017-02-06 |
| 1992870380 | John Anthony Bailey | Anesthesiology | 4881 Nw 8th Ave, Ste 2, Gainesville, FL 32605-4582 | 2006-11-21 |
| 1578598892 | Scott A Teitelbaum | Anesthesiology | 1600 Sw Archer Rd, Box 100256, Gainesville, FL 32610-0256 | 2006-07-12 |
| 1265475222 | William A Yvorchuk | Anesthesiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-14 |
| 1912984303 | Edward H. Katz | Anesthesiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1174863757 | Total Patient Care of Ocala, Inc. | Anesthesiology | 3320 Sw 33rd Road, Suite 200, Ocala, FL 34474-7427 | 2013-02-19 |
| 1841422797 | Douglas W Moreland | Anesthesiology | 1705 19th Pl Ste E2, Vero Beach, FL 32960-0688 | 2009-08-11 |
| 1447474390 | Terel S Newton | Anesthesiology | 9191 R G Skinner Pkwy Unit 303, Jacksonville, FL 32256-9658 | 2007-04-12 |
| 1679568182 | Lester N Hauge | Anesthesiology | 2416 Lynndale Rd, Suite 110, Fernandina Beach, FL 32034-5252 | 2005-09-12 |
| 1467454322 | Anthony Otis Russell | Anesthesiology | 2727 Capital Medical Blvd, Tallahassee, FL 32308-4403 | 2005-08-11 |
| 1891315859 | Sanjay Sastry Md Pa | Anesthesiology | 612 Palmetto St, New Smyrna Beach, FL 32168-7327 | 2020-04-20 |
| 1790344927 | Tallahassee Memorial Healthcare Inc | Anesthesiology | 2727 Capital Medical Blvd, Tallahassee, FL 32308-4403 | 2019-06-11 |
| 1730638842 | Milestones Wellness Centers | Anesthesiology | 3900 Broadway, Ste 7, Fort Myers, FL 33901-8193 | 2016-09-30 |
| 1356795892 | Jaffe Addiction Recovery and Pain Management Services | Anesthesiology | 8095 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8290 | 2016-04-21 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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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.