Okap Kwon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35040512 Issued in OH

Practice address

964 E Main St
Ravenna, OH 44266-3326

Phone

(330) 296-3483

Fax

(330) 296-0756

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124050968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663326",
            "telephone_number": "330-296-3483",
            "fax_number": "330-296-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663326",
            "telephone_number": "330-296-3483",
            "fax_number": "330-296-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "OKAP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35040512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340545",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kuntz
• Elizabeth A Kunze
• Edward George Kurz, DDS
• Paul Allen Kurz, MD
• Tory Elizabeth Kutsko, CPNP-PC
• Chelsi Ladd
• Nicole J Lahman
• John Lamanna
• Temara L Lampkins
• Travis Landis, PA-C

• Internal Medicine Physician in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.