Active NPI
DO Sung Hwang, MD, FAAP
- Pediatrics Physician
- Crawfordsville, IN
National Provider Identifier
1104813815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01027436
- Practice address
- 1704 Lafayette Rd
Ste 4
Crawfordsville, IN 47933-1071 - Phone
- (765) 362-5100
- Fax
- (765) 362-5171
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 01027436 | IN | |
| Pediatrics Physician | 208000000X | 01027436 | IN | Primary |
| General Practice Physician | 208D00000X | 01027436 | IN |
Addresses
Primary practice location
1704 Lafayette Rd
Ste 4
Crawfordsville, IN 47933-1071
Mailing address
1704 Lafayette Rd
Ste 4
Crawfordsville, IN 47933-1071
Phone (765) 362-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100185410A | Medicaid | IN |
Other names 1
- Dr. DO Sung Hwang IV
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 |
|---|---|---|---|
| 01027436 | IN | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1104813815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 LAFAYETTE RD",
"address_2": "STE 4",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331071",
"telephone_number": "765-362-5100",
"fax_number": "765-362-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 LAFAYETTE RD",
"address_2": "STE 4",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331071",
"telephone_number": "765-362-5100",
"fax_number": "765-362-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "DO",
"middle_name": "SUNG",
"name_prefix": "Dr.",
"credential": "MD, FAAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "01027436",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01027436",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01027436",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100185410A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DO",
"last_name": "HWANG",
"middle_name": "SUNG",
"prefix": "DR.",
"suffix": "IV",
"credential": "MD,FAAP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Crawfordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.