MIN CHONG YOO MD NPI 1962606756

NPI Information

NPI: 1962606756
Provider Name: MIN CHONG YOO, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Organization: UNIVERSITY OF ARKANSAS

PECOS Registration: Yes

Address:
4018 W CAPITAL AVE
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 686-8522
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Min Chong Yoo, MD is a transplant surgery in Little Rock, AR with 19 years of experience. The provider is definition to come. Min Chong Yoo, MD NPI is 1962606756. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:2005

The provider's business location address is:

4018 W CAPITAL AVE
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 686-8522

The NPI 1962606756 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 9/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	204F00000X	Transplant Surgery	N7512	TEXAS	No
2	204F00000X	Transplant Surgery	46777	TENNESSEE	No
3	204F00000X	Transplant Surgery	0438696	KANSAS	No
4	204F00000X	Transplant Surgery	DR.0055751	COLORADO	No
5	204F00000X	Transplant Surgery	MED-PHYS-LIC-44826	MONTANA	No
6	204F00000X	Transplant Surgery	E-13943	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36604763	MEDICAID	COLORADO
2	P01547611	OTHER	COLORADO	MEDICARE RAILROAD
3	72154004	MEDICAID	NEW MEXICO
4	BP1-0022859	OTHER		INSTITUTIONAL PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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