SONG-CHU KO (NPI# 1740205921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740205921 |
| Entity Type | Individual |
| Full Name | SONG-CHU KO |
| Credential | M.D. |
| Practice Address |
133 Route 3 Dededo GU 96929-6544 |
| Mailing Address |
Po Box 3830 Hagatna GU 96932-3830 |
| Practice Telephone | 6716455500 |
| Practice Fax Number | 6716455549 |
| Mailing Telephone | 6716455500 |
| Mailing Fax Number | 6716455549 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
M-1915 | GU | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
01061833A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200826200 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000711556 | 01 |
| Street Address |
133 ROUTE 3 |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929-6544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528058161 | Richard S Young | Radiology | 133 Route 3, Dededo, GU 96929-6911 | 2005-10-25 |
| 1427613660 | Cherry Ann Lopez Alamares | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2019-05-02 |
| 1265993737 | Marina Ng | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2019-03-27 |
| 1861958837 | Janice Roque Baldonado | Health Educator | 133 Route 3, Dededo, GU 96929-6911 | 2019-02-14 |
| 1114483260 | Melliza Young | Health Educator | 133 Route 3, Dededo, GU 96929-6911 | 2019-02-13 |
| 1861977266 | Elisabeth J Collins | Nurse Practitioner | 133 Route 3, Dededo, GU 96929-6911 | 2018-10-01 |
| 1407356272 | Nicole L.p Duenas | Speech-Language Pathologist | 133 Route 3, Dededo, GU 96929-6911 | 2018-02-18 |
| 1851803845 | Kathleen Jensen | Registered Nurse | 133 Route 3, Dededo, GU 96929-6911 | 2017-10-30 |
| 1184141020 | Ana Taitano Cruz | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2017-08-22 |
| 1275062150 | Marianys Delgado Alazo | Registered Nurse | 133 Route 3, Dededo, GU 96929 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
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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.