Jane Jee-Sun Kang, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-11900 Issued in AR

Practice address

3500 Springhill Dr Ste 100
North Little Rock, AR 72117-2949

Phone

(501) 945-8838

NPI assigned

Aug 19, 2006

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Psychiatry

Education

Louisiana State University School of Medicine in New Orleans, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Divine Mercy Health CenterGroup PAC ID 2961914437, 5 clinicians

Practice addresses (Care Compare)

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.

• Divine Mercy Health Center

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1609661305
  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  dba Baptist Health Behavioral Services Clinic

  • Psychiatry Physician
  • Bryant, AR
  • NPI 1871959874
  Medicare reassignment NPD
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Arkansas Health Group

  dba Baptist Health Women's Clinic Arkadelphia

  • Obstetrics & Gynecology Physician
  • Arkadelphia, AR
  • NPI 1720417835
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1174637755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SPRINGHILL DR STE 100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172949",
            "telephone_number": "501-945-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SPRINGHILL DR STE 100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172949",
            "telephone_number": "501-945-8838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 University Blvd",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651053",
            "country_code": "US",
            "telephone_number": "512-509-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "JANE",
        "middle_name": "JEE-SUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L5782",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-11900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "P26076@baptist-health.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3500 Springhill Dr Ste 100",
            "city": "North Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721172949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexa S Kaemmerling
• Brittney Erin Kaiser
• Melissa Carol Kaiser
• Kari Kajitani, M.D.
• Juana Kandalaft, MD
• Kennedy Kajai Karriem
• Randy Issa Kassissieh, PHARMD
• Kathryn T. Chenault, M.D, P.a.
• Syed Hammad Kazmi, MD
• Arron Lamont Kearney, LCSW

• Psychiatry Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.