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Deactivated NPI 1063472868 Deactivated / Inactive NPI Male Practitioner

Dr. Chongkyoo Woo , MD

Specialist • Ashtabula, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Chongkyoo Woo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 24, 2006
NPI Deactivation Date November 04, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Chongkyoo Woo, MD was a registered Specialist practicing in Ashtabula, OH. Throughout an active medical career spanning 13 years, Dr. Woo provided care at the practice location at 2210 S RIDGE RD E until profile deactivation on 2019-11-04.

Historical Medicare Part B clinical services included established patient outpatient office visit, cervical or vaginal cancer screening; pelvic and clinical breast examination, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2210 S Ridge Rd E

Ashtabula, OH 440044459

Telephone 4409981329
Fax 4409922623
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Ashtabula, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Ashtabula, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
35 22 $100.00 $68.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 28 $150.00 $105.54
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
23 23 $60.00 $35.98
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
20 20 $62.00 $39.54

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 37057

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Jason Carmody

Counselor - Addiction (Substance Use Disorder)

NPI 1013414127
Stephanie Wittingen , QMHS, CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1073001954

QMHS, Chemical Dependency Counselor Assistant

Linda Thompson , RN

Registered Nurse

NPI 1184256836

Registered Nurse

Lois Miller-Martone , LICDC-CS

Counselor - Addiction (Substance Use Disorder)

NPI 1285107094

LICDCCS

Jillian Byers , RN

Registered Nurse

NPI 1326664582

Registered Nurse

Dr. Harithsa Asuri , MD

Internal Medicine

NPI 1417311200

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 04, 2019

Record deactivated on November 04, 2019

NPI Profile Active June 27, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 27, 2011

Registered at 2210 S RIDGE RD E, ASHTABULA, OH 440044459 (Tel: 4409981329)

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Updated Business Mailing Address June 27, 2011

Registered at 2210 S RIDGE RD E, ASHTABULA, OH 440044459 (Tel: 4409981329)

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Provider Name / Credentials Updated June 27, 2011

Recorded as CHONGKYOO WOO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2011

Specialist (License #37057 in OH)

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Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063472868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: June 27, 2011
Deactivation Date: November 04, 2019

Mailing Address

2210 S Ridge Rd E

Ashtabula, OH 440044459

Phone: 4409981329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.