DR. SAM B KOO (NPI# 1396911087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396911087 |
| Entity Type | Individual |
| Full Name | DR. SAM B KOO |
| Credential | MD |
| Practice Address |
600 Rodeo Dr Erlanger KY 41018-1279 |
| Mailing Address |
6480 Harrison Ave Suite 100 Cincinnati OH 45247-7961 |
| Practice Telephone | 5133543700 |
| Practice Fax Number | 5133543705 |
| Mailing Telephone | 5133543700 |
| Mailing Fax Number | 5133543705 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 35120976 | OH | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 059261 | GA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
35120976 | OH | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
59261 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200991620 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000671442 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164564647 | Sam S Koo | Dentist | 7447 N Macarthur Blvd, Suite 185, Irving, TX 75063-7509 | 2007-02-13 |
| Street Address |
600 RODEO DR |
| City | ERLANGER |
| State | KY |
| Zip Code | 41018-1279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817453 | David H Sower | Emergency Medicine | 600 Rodeo Dr, Erlanger, KY 41018 | 2005-08-09 |
| 1336793868 | Johannah M Vonhandorf | Physical Therapist | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2019-08-01 |
| 1518523562 | Kristen Schellhaas | Physical Therapist | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2019-05-15 |
| 1710497623 | Katherine W Mccorkle | Physical Therapist | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2017-10-05 |
| 1225548217 | Kelci Dee Lange | Physical Therapist | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2017-10-04 |
| 1659891760 | Activate Healthcare-ohio | Clinic/Center | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2017-06-21 |
| 1609305556 | Kristen Kiefer | Physical Therapist | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2017-06-05 |
| 1568830271 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2015-09-11 |
| 1952709180 | Christine E. Williams | Nurse Practitioner | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2014-12-22 |
| 1871998203 | Julia M. Kampsen | Nurse Practitioner | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2014-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033619986 | Michael Gale Reeser II | Psychologist | 34 Erlanger Rd., Erlanger, KY 41018 | 2018-02-16 |
| 1255848065 | Orthocincy | Family Medicine | 700 Dolwick Dr, Erlanger, KY 41018 | 2018-01-02 |
| 1518413889 | Kenton Housing, Inc. | Skilled Nursing Facility | 3802 Turkeyfoot Road, Elsmere, KY 41018 | 2016-08-28 |
| 1124459565 | The Therapy Source, Inc. | Occupational Therapist | 600 Rodeo Drive, Erlanger, KY 41018 | 2013-12-11 |
| 1700135282 | Gretchen Nicole Hartzler | Physical Therapist | 1265 Viola Ln, Erlanger, KY 41018 | 2012-08-30 |
| 1851670459 | Elizabeth Ellen Kerl | Occupational Therapy Assistant | 501 Ripple Creek Dr, Elsmere, KY 41018 | 2011-08-12 |
| 1043455132 | Maureen Ann Bensman | Counselor | 510 Graves Ave Ste 206, Erlanger, KY 41018 | 2008-12-03 |
| 1851548952 | Marjorie R Reeves | Registered Nurse | 820 Dolwick Drive, Erlanger, KY 41018 | 2008-08-20 |
| 1063675759 | St Elizabeth Medical Center Inc | Clinic/Center | 4123 Olympic Blvd., Suite 150, Erlanger, KY 41018 | 2008-07-03 |
| 1821278789 | Catherine Kiely | Nurse Practitioner | 3104 Dixie Highway, Erlanger, KY 41018 | 2007-11-08 |
| Find all providers in zip 41018 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881825636 | Emilie Mailhot | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2009-07-28 |
| 1528678513 | Laura L Cardenas Mateus | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-08-04 |
| 1720633381 | Kjell Van Royen | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-08-09 |
| 1497300057 | Ahmed Hany Mohamed Tawfik Elhessy | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-08-09 |
| 1740842897 | Jongmin Kim | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-06-28 |
| 1265093496 | Mario A Almaraz | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-06-27 |
| 1417443730 | Ahmed Al Wahaibi | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-3840 | 2018-07-10 |
| 1003302316 | Jose Javier Banda Mendoza | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2018-07-10 |
| 1639665953 | Maria Cristina De Obeso Espino Barros | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-3840 | 2018-07-10 |
| 1952810681 | Shiro Yoshida | Orthopaedic Surgery | 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202 | 2017-09-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SAM B KOO.
| 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.