TAI-CHI KWOK (NPI# 1407964315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407964315 |
| Entity Type | Individual |
| Full Name | TAI-CHI KWOK |
| Credential | MD |
| Practice Address |
1761 Beall Ave Suite 3c Wooster OH 44691-2342 |
| Practice Telephone | 3303455374 |
| Practice Fax Number | 3303455814 |
| Mailing Telephone | 3303455374 |
| Mailing Fax Number | 3303455814 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
35074032 | OH | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
35-074032 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2177059 | 05 |
| Street Address |
1761 BEALL AVE SUITE 3C |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156247 | City of Wooster | General Acute Care Hospital | 1761 Beall Ave, Wooster, OH 44691-2342 | 2005-07-07 |
| 1073137048 | Vickie Lyn Heath | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-06-04 |
| 1730703737 | Amie Renee Spicocchi | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-06-04 |
| 1700409752 | Nicole Sword | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-05-26 |
| 1831727452 | Paul W Aslanides | Nurse Practitioner | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-03-30 |
| 1154960581 | Brittany Paul | Dietitian, Registered | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-01-02 |
| 1043857279 | Anna Kathryn Gest | Dietitian, Registered | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-12-06 |
| 1568009298 | Sarah Ickes | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-12-02 |
| 1346887197 | Cheryl Sue Mast | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-11-27 |
| 1437795275 | Susan Mcilvaine | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689702870 | Adult Geriatrics of Wooster, Inc. | Family Medicine | 1761 Beall Ave, Suite 3c, Wooster, OH 44691-2342 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645779 | Francis Dapaah | Family Medicine | 1264 Brainard Rd, Lyndhurst, OH 44124-1404 | 2019-11-27 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1780009928 | Js Aesthetics | Family Medicine | 2400 Passage Key Trl, Xenia, OH 45385-9212 | 2014-02-25 |
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1902152366 | Mason Family Health Center LLC | Family Medicine | 7808 Derbyshire Ct, Liberty Township, OH 45044-9049 | 2012-08-02 |
| 1548539976 | Eva Ray Lefton | Family Medicine | 16 Deerfield Ln, Beachwood, OH 44122-7502 | 2011-12-13 |
| 1508189499 | Senior Care Physicians, Inc. | Family Medicine | 1745 Indian Wood Cir Ste 252, Maumee, OH 43537-4168 | 2010-03-05 |
| 1639404171 | Midwest Dysphagia Consultants, LLC | Family Medicine | 5710 Wooster Pike Ste 102, Cincinnati, OH 45227-4520 | 2009-10-15 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1235311358 | Licking Memorial Professional Corp. | Family Medicine | 17 Forry St, Newark, OH 43055-4004 | 2007-11-30 |
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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.