Pyung Suh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD26945 Issued in TN

Practice address

401 E Main St
Johnson City, TN 37601-4877

Phone

(423) 929-2584

Fax

(423) 722-2060

NPI assigned

Jun 15, 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

Medicare fee-for-service enrollment

Enrolled in VA, TN2 enrollments

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 2

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 and National Provider Directory roles.

• Mosheim Recovery Associates

  • Family Medicine Physician
  • Mosheim, TN
  • NPI 1003562372
  Medicare reassignment NPD
• Doctors Office LLC

  • Addiction (Substance Use Disorder) Counselor
  • Abingdon, VA
  • NPI 1063047819
  Medicare reassignment NPD
• Southwest Regional Counseling Service Inc

  • Addiction (Substance Use Disorder) Counselor
  • Lebanon, VA
  • NPI 1063078855
  Medicare reassignment NPD
• Medical Care PLLC

  • Family Medicine Physician
  • Elizabethton, TN
  • NPI 1851537260
  Medicare reassignment
• Emmaus Medical and Counseling, PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Bulls Gap, TN
  • NPI 1598256117
  NPD
• Mosheim Recovery Associates Inc

  • Multi-Specialty Clinic/Center
  • Mosheim, TN
  • NPI 1679168421
  NPD
• Regional Health Resources Inc

  • Rural Health Clinic/Center
  • Duffield, VA
  • NPI 1841415619
  NPD (past)
• Regional Health Resources, Inc

  • Primary Care Clinic/Center
  • Duffield, VA
  • NPI 1487681771
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1295779148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014877",
            "telephone_number": "423-929-2584",
            "fax_number": "423-722-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014877",
            "telephone_number": "423-929-2584",
            "fax_number": "423-722-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "PYUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD26945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten N Street
• Charles S Stuart, MD
• Jennifer Alane Stuart
• Riley Beth Sturgill, DMD, MSD
• Deydie Thais Suarez Salazar, MD
• Leslie Sullins, FNP-C
• Yanah Terry Sullins, LMFT
• Alison M Sullivan, DO
• Jennifer Wilcox Sullivan, RN
• Rodney Anthony Sullivan, PHD

• Family Medicine Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.