Nak Yoon Paek, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 33652 Issued in FL

Practice address

424 N Hogan St
Jacksonville, FL 32202-4104

Phone

(904) 354-5340

Fax

(904) 354-5342

NPI assigned

Aug 10, 2005

Reactivated

Jun 27, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Naky Paek

  • General Practice Physician
  • Jax, FL
  • NPI 1205227733
  NPD (past) Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326049495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N HOGAN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024104",
            "telephone_number": "904-354-5340",
            "fax_number": "904-354-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N HOGAN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024104",
            "telephone_number": "904-354-5340",
            "fax_number": "904-354-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEK",
        "first_name": "NAK",
        "middle_name": "YOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-09",
        "deactivation_date": "2006-03-29",
        "reactivation_date": "2006-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 33652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037599301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "592916480",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037599300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "172640",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "213899",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Daniel Padilla
• Leonardo Padin Villanueva, DPT
• Teresa Padro, DNP
• Osmel A Padroza, MA
• Carlos Alfredo Padula, MD
• Alyssa A Paetau, MD
• Tobin Paez, DO
• Ryan N Pafford, MS, MSPAS, PA-C
• Robert Deshawn Pagan Rosado, MD
• Eric Pagan

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.