K. KWANG SOO, M.D., S.C.
NPI 1336296722
Clinic/Center - Adult Mental Health in Milwaukee, WI
NPI Status: Active since January 05, 2007
Contact Information
2691 N LAKE DR
MILWAUKEE, WI
ZIP 53211
Phone: (414) 228-8300
Fax: (414) 228-6303
- Organization
- Clinic/Center
- Adult Mental Health
About K. KWANG SOO, M.D., S.C.
This page provides the complete NPI Profile along with additional information for K. Kwang Soo, M.d., S.c., a provider established in Milwaukee, Wisconsin operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1336296722 assigned on January 2007. The practitioner's primary taxonomy code is 261QM0850X with license number 19331 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Kam Kwang Soo M.d. (President)
- NPI
- 1336296722
- Provider Name
- K. KWANG SOO, M.D., S.C.
- Entity Type
- Organization
- Location Address
- 2691 N LAKE DR MILWAUKEE, WI 53211
- Location Phone
- (414) 228-8300
- Location Fax
- (414) 228-6303
- Mailing Address
- PO BOX 170526 MILWAUKEE, WI 53217
- Mailing Phone
- (414) 228-8300
- Mailing Fax
- (414) 228-6303
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- License No.
- 19331
- License State
- WI
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 301 529 00 | MEDICAID (05) | WI |
Reviews for K. KWANG SOO, M.D., S.C.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 2 | 9 | 6 | 7 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 9 | 12 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 9 + 1 + 2 + 7 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1336296722 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
EVOLVE PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Clinic/Center
(Physical Therapy)
2691 N LAKE DR
MILWAUKEE, WI
ZIP 53211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336296722, enumerated as an "organization" on January 05, 2007.
The provider is located at 2691 N LAKE DR MILWAUKEE, WI 53211 and the phone number is (414) 228-8300.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
