Hyun-Soon Ellen Kwark, M.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

2010-00097 Issued in NC

Practice address

706 Green Valley Rd Ste 104
Greensboro, NC 27408-7043

Phone

(336) 387-2500

Fax

(336) 387-2501

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greensboro Pathology, LLCGroup PAC ID 1153315643, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greensboro Pathology, LLC

  • Specialist
  • Greensboro, NC
  • NPI 1023084340

  NC

  Medicare reassignment Care Compare group NPD
• Greensboro Pathology, LLC

  • Clinical Medical Laboratory
  • Greensboro, NC
  • NPI 1952396202
  Care Compare group NPD
• Mid-Atlantic Pathology Services, Inc.

  • Clinical Medical Laboratory
  • MC Lean, VA
  • NPI 1245302009
  NPD
• Laboratory of Dermatopathology Adx, LLC

  • Dermatopathology (Pathology) Physician
  • Woodbury, NY
  • NPI 1487663860

  Dermatopathology

  NPD (past)
• University Pathology, P.C.

  • Specialist
  • Valhalla, NY
  • NPI 1952401820
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1487730800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WESTCHESTER AVENUE",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731320",
            "telephone_number": "914-698-5706",
            "fax_number": "914-698-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 GREEN VALLEY RD STE 104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087043",
            "telephone_number": "336-387-2500",
            "fax_number": "336-387-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWARK",
        "first_name": "HYUN-SOON",
        "middle_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": "2010-00097",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": "2010-00097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "184959",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poonam Kushwaha
• Katherine Kussler
• Gary Robert Kuzma, MD
• Kevin R Kuzma, MD
• Thomas Kwapil, PH.D.
• Peter Frank Kwiatkowski, M.D.
• David Sung Kwon, M.D.
• Junlee Kwon
• Marina Semenovna Kyazimova, PA-C
• Tyrone Alexander Kyle, D.O.

• All providers in Greensboro, NC
• Anatomic Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.