Active NPI
Byunghak Jin, M.D.
- General Practice Physician
- Waynesburg, PA
National Provider Identifier
1013277268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD032689L
- Practice address
- 169 Progress Dr
Waynesburg, PA 15370-8082 - Phone
- (724) 627-4696
- Fax
- (724) 627-4280
- NPI assigned
- May 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD032689L | PA | Primary |
Addresses
Primary practice location
169 Progress Dr
Waynesburg, PA 15370-8082
Mailing address
169 Progress Dr
Waynesburg, PA 15370-8082
Phone (724) 627-4696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD032689L | PA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1013277268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 PROGRESS DR",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153708082",
"telephone_number": "724-627-4696",
"fax_number": "724-627-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 PROGRESS DR",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153708082",
"telephone_number": "724-627-4696",
"fax_number": "724-627-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIN",
"first_name": "BYUNGHAK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD032689L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.