Sung Ook Whang, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

01034452A Issued in IN

Practice address

1381 N Wayne St
Angola, IN 46703-2348

Phone

(260) 667-5613

Fax

(260) 667-5630

NPI assigned

Jul 12, 2005

Last updated

Dec 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Cameron Memorial Community Hospital, Inc

  dba Cameron Anesthesiology

  • Family Medicine Physician
  • Angola, IN
  • NPI 1770521478

  Surgery

  Medicare reassignment NPD
• Cameron Memorial Community Hospital, Inc.

  • Critical Access Hospital
  • Angola, IN
  • NPI 1386683316
  NPD
• Lutheran Medical Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1710275664
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1083612139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032348",
            "telephone_number": "260-667-5624",
            "fax_number": "260-665-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032348",
            "telephone_number": "260-667-5613",
            "fax_number": "260-667-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHANG",
        "first_name": "SUNG",
        "middle_name": "OOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01034452A",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01034452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100225640",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Watkins Family Practice, PC
• David P Watkins, M.D.
• Emily A Watkins, PT
• Larry E Watkins, M.D.
• Tamara Lynn Watkins, DDS
• Allison White
• Thomas Joseph Wiegand, O.D.
• Galen Ricci Williams, DDS
• Shawna R Woodlee, RBT
• Kimberly Wright, LMHC

• Occupational Medicine Physician in Angola, IN
• Providers in Angola, IN by specialty
• Occupational Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.