Jen Lian Koon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M9425 Issued in TX

Practice address

18955 N Memorial Dr Ste 200
Humble, TX 77338-4386

Phone

(281) 446-0148

Fax

(280) 446-0149

NPI assigned

Mar 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Capital Medical Center Specialty Physicians, LLC

  • Occupational Medicine Physician
  • Olympia, WA
  • NPI 1760785281
  NPD (past)

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1407097512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384386",
            "telephone_number": "281-446-0148",
            "fax_number": "281-446-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384386",
            "telephone_number": "281-446-0148",
            "fax_number": "280-446-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOON",
        "first_name": "JEN",
        "middle_name": "LIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierra Monquie Knight
• Kob Advanced Surgical, PLLC
• Madison V Kobal I
• Ajit Kumar Koduri, MD
• Kristie Gayle Kolacny, RPH
• Sheldon Dane Kothmann
• Sharon Koubek, CPNP
• KPH-Consolidation, Inc.
• KPH-Consolidation, Inc.
• KPH-Consolidation, Inc.

• Internal Medicine Physician in Humble, TX
• Providers in Humble, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.