Organization Active NPI

Sukhoon Yoon, MD, PA

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1124150412
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9465 Issued in TX
Legal business name
SUKHOON YOON, MD, PA
Practice address
5001 Monarda Way
Fort Worth, TX 76123-1813
Phone
(817) 731-6121
Fax
(817) 732-8015
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Sukhoon Yoon, M.D.
Title
Physician
Phone
(817) 731-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K9465 TX Primary

Addresses

Primary practice location

5001 Monarda Way
Fort Worth, TX 76123-1813

Mailing address

PO Box 16278
Fort Worth, TX 76162-0278
Phone (817) 731-6121

Other identifiers 2

IdentifierTypeStateIssuer
DD5879OtherMEDICARE RAILROAD
0025KQOtherTXTX BCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124150412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16278",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761620278",
            "telephone_number": "817-731-6121",
            "fax_number": "817-732-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 MONARDA WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231813",
            "telephone_number": "817-731-6121",
            "fax_number": "817-732-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKHOON YOON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "SUKHOON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-731-6121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD5879",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BCBS GROUP NUMBER",
            "identifier": "0025KQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.