Organization Active NPI

Oo Hyon Kyong, MD

  • Obstetrics & Gynecology Physician
  • Ithaca, NY
National Provider Identifier
1083805154
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
122217 Issued in NY
Legal business name
OO HYON KYONG, MD
Practice address
1290 Trumansburg Rd
Ithaca, NY 14850-1314
Phone
(607) 273-4331
Fax
(607) 272-0257
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Oo Hyon Kyong, MD
Title
Owner
Phone
(607) 273-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 122217 NY Primary

Addresses

Primary practice location

1290 Trumansburg Rd
Ithaca, NY 14850-1314

Mailing address

1290 Trumansburg Rd
Ithaca, NY 14850-1314
Phone (607) 273-4331

Other identifiers 1

IdentifierTypeStateIssuer
02432891MedicaidNY

National Provider Directory

National Provider Directory

Locations

1290 Trumansburg Rd
Ithaca, NY 14850
Phone (607) 273-4331

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1083805154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 TRUMANSBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501314",
            "telephone_number": "607-273-4331",
            "fax_number": "607-272-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 TRUMANSBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501314",
            "telephone_number": "607-273-4331",
            "fax_number": "607-272-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OO HYON KYONG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "KYONG",
        "authorized_official_first_name": "OO",
        "authorized_official_middle_name": "HYON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-273-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "122217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02432891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.