Individual provider Active NPI

Kanjana Unnwongse, M.D.

  • Neurology Physician
  • Cleveland, OH
National Provider Identifier
1417192089
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
24673 Issued in ZZ
Practice address
The Cleveland Clinic Foundation S10
9500 Euclid Avenue
Cleveland, OH 44195-0001
Phone
(216) 444-8040
NPI assigned
Dec 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 24673 ZZ Primary

Addresses

Primary practice location

The Cleveland Clinic Foundation S10
9500 Euclid Avenue
Cleveland, OH 44195-0001

Mailing address

12000 Fairhill Rd
Apt#818
Cleveland, OH 44120-1035
Phone (216) 707-1953

Other identifiers 1

IdentifierTypeStateIssuer
EHP03338900OtherCLEVELAND CLINIC HEALTH SYSTEM/ EMPLOYEE HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24673ZZMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1417192089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 FAIRHILL RD",
            "address_2": "APT#818",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201035",
            "telephone_number": "216-707-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE CLEVELAND CLINIC FOUNDATION S10",
            "address_2": "9500 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNNWONGSE",
        "first_name": "KANJANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ZZ",
            "license": "24673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEVELAND CLINIC HEALTH SYSTEM/ EMPLOYEE HEALTH PLAN",
            "identifier": "EHP03338900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.