Active NPI
Paul S Kwon, MASTERS IN GC
- Genetic Counselor (M.S.)
- Charlottesville, VA
National Provider Identifier
1487315305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 0140000031
- Practice address
- 500 Martha Jefferson Dr
Charlottesville, VA 22911-4668 - Phone
- (434) 654-5950
- NPI assigned
- Jan 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 0140000031 | VA | Primary |
Addresses
Primary practice location
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Mailing address
219 E Broad St Apt 1901
Richmond, VA 23219-1955
Phone (443) 980-2030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0140000031 | VA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1487315305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 E BROAD ST APT 1901",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191955",
"telephone_number": "443-980-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARTHA JEFFERSON DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114668",
"telephone_number": "434-654-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "PAUL",
"middle_name": "S",
"credential": "MASTERS IN GC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-03",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "VA",
"license": "0140000031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.