Individual provider Active NPI

Woun Seok, D.O

  • Family Medicine Physician
  • Duluth, GA
National Provider Identifier
1043303704
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
054279 Issued in GA
Practice address
3500 Duluth Park LN
Suite 220
Duluth, GA 30096-3242
Phone
(678) 417-0332
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 054279 GA Primary

Addresses

Primary practice location

3500 Duluth Park LN
Suite 220
Duluth, GA 30096-3242

Mailing address

3500 Duluth Park LN
Suite 220
Duluth, GA 30096-3242
Phone (678) 417-0332

Other identifiers 1

IdentifierTypeStateIssuer
054279OtherGALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000302 GA Practitioner - Family Practice 0840251054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3610 Peachtree Industrial Blvd
Duluth, GA 30096-4953
Phone (678) 417-0332

3610 Peachtree Industrial Blvd
Suite 100
Duluth, GA 30096-4843

3610 Peachtree Industrial Blvd
Suite 100
Duluth, GA 30096-5139

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Woun Hue Seok DO PC Family Medicine CurrentSince Oct 15, 2004 Accepting new patients
Cedar Crest Imaging Past Accepting new patients

Locations

3500 Duluth Park Ln
Ste 220
Duluth, GA 30096
Phone (678) 417-0332

3610 Peachtree Industrial Blvd
Ste 100
Peachtree Corners, GA 30096
Phone (678) 417-0332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1043303704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN",
            "address_2": "SUITE 220",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963242",
            "telephone_number": "678-417-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN",
            "address_2": "SUITE 220",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963242",
            "telephone_number": "678-417-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEOK",
        "first_name": "WOUN",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "054279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "054279",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.