Elena HN Kwon, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

04515 Issued in KY

Practice address

17197 N Laurel Park Dr Ste 107
Livonia, MI 48152-7910

Phone

(734) 338-8300

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other names 1

• Elena H Jehan-Abdul Former name

Medicare fee-for-service enrollment

Enrolled in WV, OH, FL, AZ4 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 4

Specialty

Emergency Medicine

Education

West Virginia School of Osteopathic Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Physicians Emergency Medicine of Arizona IncGroup PAC ID 5799066650, 41 clinicians

Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
• HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekwon769294@direct.centracare.com

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment Care Compare group NPD
• Sound Physicians Emergency Medicine of Arizona, Inc.

  • Emergency Medicine Physician
  • Sierra Vista, AZ
  • NPI 1700328663
  Medicare reassignment Care Compare group NPD
• Allied West Virginia Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Huntington, WV
  • NPI 1487109104
  Medicare reassignment NPD
• Beckley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1376757674
  Medicare reassignment NPD
• Broaddus Hospital Association, Inc.

  • Critical Access Hospital
  • Philippi, WV
  • NPI 1548246622
  Medicare reassignment NPD
• Davis Memorial Hospital

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Medicare reassignment NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Left Hand, WV
  • NPI 1790745677
  Medicare reassignment NPD
• Ohio Valley Physicians Inc

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1962433177

  Emergency Medicine, OH

  Medicare reassignment NPD
• Racine Observation Medical Group, PLLC

  • Emergency Medicine Physician
  • Huntington, WV
  • NPI 1588196851
  Medicare reassignment NPD
• Valley Emergency Physicians Ohio LLC

  • Emergency Medicine Physician
  • Ironton, OH
  • NPI 1528342961
  Medicare reassignment NPD
• Exceptional Physicians Group Arizona PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maricopa, AZ
  • NPI 1447910229
  Medicare reassignment
• Exceptional Physicians Group Bullhead City Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
  • NPI 1518732023
  Medicare reassignment

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

• RCHP-Sierra Vista Inc

  • Rural Health Clinic/Center
  • Sonoita, AZ
  • NPI 1013160290

  Hospital

  Care Compare affiliation
• RCHP-Sierra Vista Inc

  • General Acute Care Hospital
  • Sierra Vista, AZ
  • NPI 1194766543
  Care Compare affiliation
• RCHP-Sierra Vista Inc

  • Rural Health Clinic/Center
  • Tombstone, AZ
  • NPI 1508010471

  Hospital

  Care Compare affiliation
• Sarasota Doctors Hospital Inc

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1003862053
  Care Compare affiliation

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1366563249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 HARRINGTON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR STE 107",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527910",
            "telephone_number": "734-338-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27351 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713487",
            "country_code": "US",
            "telephone_number": "248-967-7795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Hospital Dr # 1",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012302",
            "country_code": "US",
            "telephone_number": "740-593-5991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "ELENA",
        "middle_name": "HN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101017122",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.016026",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3873",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "88710",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H86275",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "04515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "JEHAN-ABDUL",
            "middle_name": "H",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam M Kuz, CRNA
• Faith Kuz
• Grace Kuza, M.A., CCC-SLP
• Gerald Stanley Kwas, MA LPC LMSW
• Kassandra Kwiatkowski
• KZ Home Care Services, LLC
• Robert Joseph La Fortune, D.D.S.
• Jason James La Vigne, M.D.
• Lindsay Labadie
• Hannah Laberge

• Emergency Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.