Organization Active NPI

Min S. Ahn, MD PC

  • Facial Plastic Surgery Physician
  • Westborough, MA
National Provider Identifier
1316006869
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
MIN S. AHN, MD PC
Practice address
2 Connector Rd
Westborough, MA 01581-3969
Phone
(508) 366-2020
Fax
(508) 366-2700
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Min Shick Ahn, MDNPI 1255326112
Title
President
Phone
(508) 755-8623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

2 Connector Rd
Westborough, MA 01581-3969

Mailing address

2 Connector Rd
Westborough, MA 01581-3969
Phone (508) 366-2020

Other identifiers 1

IdentifierTypeStateIssuer
9712861MedicaidMA

National Provider Directory

National Provider Directory

Locations

2 Connector Rd
#2C
Westborough, MA 01581
Phone (508) 366-2323

2 Connector Rd
Westborough, MA 01581
Phone (508) 366-2020

2 Connector Rd
Ste 2C
Westborough, MA 01581
Phone (508) 366-2020

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1316006869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CONNECTOR RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813969",
            "telephone_number": "508-366-2020",
            "fax_number": "508-366-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CONNECTOR RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813969",
            "telephone_number": "508-366-2020",
            "fax_number": "508-366-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN S. AHN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "MIN",
        "authorized_official_middle_name": "SHICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-755-8623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712861",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.