NPIMap

Organization Active NPI

Byong J. Ahn, M.D. & Associates

  • Clinical Social Worker
  • Elyria, OH
National Provider Identifier
1497082986
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0004304 Issued in OH
Legal business name
BYONG J. AHN, M.D. & ASSOCIATES
Practice address
347 Midway Blvd
Suite 110
Elyria, OH 44035-9006
Phone
(440) 324-5555
Fax
(440) 324-5512
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Byong Jik Ahn, M.D.NPI 1295766053
Title
Owner
Phone
(440) 324-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X E0000911 OH
PsychoanalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 102L00000X 35040472 OH
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X I0004304 OH Primary

Addresses

Primary practice location

347 Midway Blvd
Suite 110
Elyria, OH 44035-9006

Mailing address

347 Midway Blvd
Suite 110
Elyria, OH 44035-9006
Phone (440) 324-5555

Other identifiers 3

IdentifierTypeStateIssuer
2632397MedicaidOH
2273856MedicaidOH
0464680MedicaidOH

Other names 1

  • Byong J. Ahn, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1497082986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MIDWAY BLVD",
            "address_2": "SUITE 110",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440359006",
            "telephone_number": "440-324-5555",
            "fax_number": "440-324-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MIDWAY BLVD",
            "address_2": "SUITE 110",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440359006",
            "telephone_number": "440-324-5555",
            "fax_number": "440-324-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYONG J. AHN, M.D. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "BYONG",
        "authorized_official_middle_name": "JIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-324-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0000911",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "OH",
            "license": "35040472",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0004304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632397",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2273856",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byong J. Ahn, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.