Basic Information
| Provider Information | |||||||||
| NPI: | 1750360822 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHO | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 578 N LEAVITT RD | ||||||||
| Address2: | |||||||||
| City: | AMHERST | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440011131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409881009 | ||||||||
| FaxNumber: | 4409881227 | ||||||||
| Practice Location | |||||||||
| Address1: | 3600 KOLBE RD STE 205 | ||||||||
| Address2: | |||||||||
| City: | LORAIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440531677 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409891800 | ||||||||
| FaxNumber: | 4409891801 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2006 | ||||||||
| LastUpdateDate: | 12/14/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 35079204 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 2551671 | 01 | OH | PARTNERS PHYSICIAN GROUP MEDICAID # | OTHER | 2277781 | 05 | OH | MEDICAID | 9338635 | 01 | OH | PARTNERS PHYSICIAN GROUP MEDICARE # | OTHER | 1043511595 | 01 | OH | AKRON CARDIOVASCULAR ASSOCIATES TYPE 2 NPI # | OTHER | 1841239274 | 01 | OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # | OTHER |