Kye Hyon Bang, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

134918 Issued in NY

Practice address

1104 Commons Ave
Cortland, NY 13045-1643

Phone

(607) 753-0700

Fax

(607) 756-6333

NPI assigned

Feb 22, 2006

Last updated

Nov 26, 2012By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1386619351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130450628",
            "telephone_number": "607-753-0700",
            "fax_number": "607-756-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 COMMONS AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451643",
            "telephone_number": "607-753-0700",
            "fax_number": "607-756-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "KYE",
        "middle_name": "HYON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "134918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00567762",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "BA0927",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00567886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doretha Michelle Baker, CASAC
• Krystal Lynn Baker
• Baljinder Singh DDS PC (Cortland Dental)
• Baljinder Singh DDS PC (Cortland Dental)
• Adrian J. Ballard, M.S.W., LMSW
• Gwendolyn Barbato, M.S., CCC-SLP
• Lois Barber, LPN
• Penny M Barber, LPN
• Ethan Bardell
• Lisa Mae Barden, MS, LSC, CASAC-T

• Surgery Physician in Cortland, NY
• Providers in Cortland, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.