Physician Compare National (NPI:1285945295)

HEALTHCARE PROVIDER: BYUNGSOO KO 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	1285945295
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799917431
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170628001025
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KO
	Individual professional last name
Provider First Name	BYUNGSOO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	HAYS MEDICAL CENTER INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1557279676
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	116
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2220 CANTERBURY DR
	Group Practice or individual's line 1 address
City	HAYS
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	676012370
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7856254699
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HAYS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	171350
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RUSSELL REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	171311
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ROOKS COUNTY HEALTH CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	171342
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	RUSH COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	171355
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	TREGO COUNTY LEMKE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1285945295)

HEALTHCARE PROVIDER: BYUNGSOO KO MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information