Individual provider Active NPI

Joanne Sun Yen, P.A.-C.

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1356671101
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06604 Issued in TX
Practice address
12221 Merit Dr Ste 1610
Dallas, TX 75251-2204
Phone
(214) 217-1911
Fax
(214) 217-1912
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06604 TX Primary

Addresses

Primary practice location

12221 Merit Dr Ste 1610
Dallas, TX 75251-2204

Mailing address

12221 Merit Dr Ste 1610
Dallas, TX 75251-2204
Phone (214) 217-1911

Other identifiers 2

IdentifierTypeStateIssuer
282538201MedicaidTX
282538202MedicaidTX

Other names 1

  • Joanne Sun Hong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000115 TX Practitioner - Physician Assistant 8921283912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brady Medical Group PLLCGroup PAC ID 1951843440, 7 clinicians

Practice addresses (Care Compare)

12770 Coit Rd
Suite 1200
Dallas, TX 75251-1413
Phone (844) 409-4657

1833 Cannon Dr
Mansfield, TX 76063-3482
Phone (844) 409-4657

3201 Medpark Dr
Denton, TX 76208-6932
Phone (844) 409-4657

409 Central Park Dr
Arlington, TX 76014-2069
Phone (844) 409-4657

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brady Medical Group PLLC CurrentSince Aug 26, 2024 Accepting new patients

Locations

409 Central Park Dr
Arlington, TX 76014
Phone (817) 261-9191

5477 Glen Lakes Dr
Ste 100
Dallas, TX 75231
Phone (214) 361-2277

3800 Gaylord Pkwy
Ste 1190
Frisco, TX 75034
Phone (214) 919-3862

6031 Connection Dr
Ste 100
Irving, TX 75039
Phone (469) 331-9629

6700 Alma Rd
Ste 400
McKinney, TX 75070
Phone (469) 663-0515

2443 S Galveston Ave
Pearland, TX 77581
Phone (281) 485-4829

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1356671101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 1610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512204",
            "telephone_number": "214-217-1911",
            "fax_number": "214-217-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 1610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512204",
            "telephone_number": "214-217-1911",
            "fax_number": "214-217-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "JOANNE",
        "middle_name": "SUN",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282538201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282538202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "HONG",
            "middle_name": "SUN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.