Active NPI
Jeena Jiyeon Yoo
- Internal Medicine Physician
- Lebanon, NH
National Provider Identifier
1053678581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A135059
- Practice address
- 1 Medical Center Dr
DHMC Department of Internal Medicine
Lebanon, NH 03756-1000 - Phone
- (603) 650-7515
- NPI assigned
- Apr 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M-2107 | GU | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A135059 | CA | Primary |
Addresses
Primary practice location
1 Medical Center Dr
DHMC Department of Internal Medicine
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC Department of Internal Medicine
Lebanon, NH 03756-1000
Phone (603) 650-7515
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A135059 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1053678581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC DEPARTMENT OF INTERNAL MEDICINE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC DEPARTMENT OF INTERNAL MEDICINE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "JEENA",
"middle_name": "JIYEON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-22",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GU",
"license": "M-2107",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A135059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.