Provider Demographics
NPI:1760468797
Name:CHOO, JOSEPH K (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:K
Last Name:CHOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WILLIAM HOWARD TAFT RD
Mailing Address - Street 2:2ND FLOOR, CBO2-3
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2610
Mailing Address - Country:US
Mailing Address - Phone:513-792-7800
Mailing Address - Fax:513-792-7807
Practice Address - Street 1:11140 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2309
Practice Address - Country:US
Practice Address - Phone:513-792-7800
Practice Address - Fax:513-792-7807
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35080062207RC0000X, 207RI0011X
KY58273207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2502604OtherUNITED
OH000000205146OtherANTHEM
OH2276148Medicaid
OH283762OtherAMERIGROUP
OH31143887126OtherCARE SOURCE
OH60064592OtherRAILROAD MEDICARE
IN200370590Medicaid
OH2638236OtherAETNA
KY64045644Medicaid
OH18601606001OtherMEDICAL MUTUAL
OH2502604OtherUNITED
KY64045644Medicaid
OH4058291Medicare PIN
IN200370590Medicaid
OH31143887126OtherCARE SOURCE