Physician Compare National (NPI:1124280508)

HEALTHCARE PROVIDER: SUNG-JOON CHO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124280508
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123188505
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170828001572
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHO
	Individual professional last name
Provider First Name	SUNG-JOON
	Individual professional first name
Provider Middle Name	MD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF WISCONSIN
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3351 WATERVIEW PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	HEALTHSOUTH RICHARDSON
	Group Practice or individual's line 2 address
City	RICHARDSON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750801449
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450379
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DALLAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450537
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METHODIST RICHARDSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450651
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y