Individual provider Active NPI

Eun Kyung Jeon, PHD

  • Audiologist
  • Iowa City, IA
National Provider Identifier
1417516980
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000755 Issued in IA
Practice address
250 Hawkins Dr
Iowa City, IA 52242-1012
Phone
(319) 335-8703
Fax
(319) 335-8851
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000755 IA Primary

Addresses

Primary practice location

250 Hawkins Dr
Iowa City, IA 52242-1012

Mailing address

250 Hawkins Dr
Iowa City, IA 52242-1012
Phone (319) 335-8703

Other names 1

  • Dr. Julie Jeon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190706000058 IA Practitioner - Qualified Audiologist 8022343581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

250 Hawkins Dr
Wendell Johnson Speech and Hearing Center
Iowa City, IA 52242-1012

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000755IAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Audiologist CurrentSince Jul 1, 2019 Accepting new patients
State University of Iowa CurrentSince Jul 1, 2019 Accepting new patients

Locations

250 Hawkins Dr
Iowa City, IA 52242
Phone (319) 335-8703

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

250 Hawkins Dr
#116
Iowa City, IA 52242
Phone (319) 335-8703

Interoperability endpoints

  • Direct secure messaging: ejeon16473@uihcdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1417516980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421012",
            "telephone_number": "319-335-8703",
            "fax_number": "319-335-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421012",
            "telephone_number": "319-335-8703",
            "fax_number": "319-335-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "EUN KYUNG",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "000755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "JEON",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.