JKW Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD60003277 Issued in WA

Legal business name

JKW MEDICAL GROUP

Practice address

11504 NE 21St St
Bellevue, WA 98004-3025

Phone

(425) 698-3033

Fax

(425) 968-6357

NPI assigned

Jan 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jiakun Wang, MD

Title

Owner

Phone

(615) 423-9545

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicky Lee, NP

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1023667052
  NPD (past)
• Cassie Lynn McColl, MSA, LAC

  • Acupuncturist
  • Bellevue, WA
  • NPI 1023588530
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1023348497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11504 NE 21ST ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043025",
            "telephone_number": "425-698-3033",
            "fax_number": "425-968-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11504 NE 21ST ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043025",
            "telephone_number": "425-698-3033",
            "fax_number": "425-968-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKW MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JIAKUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-423-9545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60003277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005338",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ziyu Jin
• Jin'S Acupuncture Clinic Corp
• Jacquelyn Jinhong, RN
• Sandra Jirak
• JJ Chiropractic
• Vickie Jo, MA, LMHCA
• Yoon Sun Jo
• Yun Hee Jo, DDS
• Zion Lily Jo, MACP
• Joanna B. Sloan MD

• Internal Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.