Provider Demographics
NPI:1114142312
Name:RYOO, CHERIE (MD)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:RYOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:
Other - Last Name:RYOO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1810 MACKENZIE DR FL 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2967
Mailing Address - Country:US
Mailing Address - Phone:614-273-2250
Mailing Address - Fax:614-273-2255
Practice Address - Street 1:6573 E BROAD ST
Practice Address - Street 2:STE A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213
Practice Address - Country:US
Practice Address - Phone:614-755-5151
Practice Address - Fax:614-755-5155
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.094444207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3044057Medicaid