Active NPI
Jung Jang Hwan, MD
- Obstetrics & Gynecology Physician
- Clarks Summit, PA
National Provider Identifier
1003915109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD033267L
- Legal business name
- JUNG JANG HWAN, MD
- Practice address
- 709 N State St
Clarks Summit, PA 18411-9139 - Phone
- (570) 587-4394
- NPI assigned
- Sep 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jung J Hwan, MD
- Title
- Owner
- Phone
- (570) 587-4394
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD033267L | PA | Primary |
Addresses
Primary practice location
709 N State St
Clarks Summit, PA 18411-9139
Mailing address
709 N State St
Clarks Summit, PA 18411-9139
Phone (570) 587-4394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006014770003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Clarks Summit, PA
- NPI 1114928553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003915109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 N STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184119139",
"telephone_number": "570-587-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184119139",
"telephone_number": "570-587-4394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNG JANG HWAN, MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HWAN",
"authorized_official_first_name": "JUNG",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-587-4394",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD033267L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006014770003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.