OrganizationActive
US Army
NPI 1114123726 · Physician Assistant · Tongduchon
Provider details
- NPI number
- 1114123726
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Soo Baek, Physician Assistant05057302609
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
60% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Hhs 6-37fa, 2id, Unit#15410 Apo Ap 96224
Tongduchon, 96224
Phone: 05057302609
Mailing address
Hhs 6-37 Fa, 2id, Unit#15410 Apo Ap 15410
Tongduchon, KYUNGKIDO 15410
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2008-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.