Active NPI
Stephen S Hwang, M.D., PH.D.
- Gastroenterology Physician
- Enid, OK
National Provider Identifier
1497740468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 20382
- Practice address
- 330 South 5TH Street
Suite 305
Enid, OK 73701-5862 - Phone
- (580) 249-3003
- Fax
- (580) 237-1480
- NPI assigned
- Sep 15, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 20382 | OK | Primary |
Addresses
Primary practice location
330 South 5TH Street
Suite 305
Enid, OK 73701-5862
Mailing address
PO Box 3046
Malvern, PA 19355-0746
Phone (580) 249-3003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100034970A | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20382 | OK | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Gastroenterology Associates Inc | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Tulsa, OK
- NPI 1306884812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1497740468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3046",
"city": "MALVERN",
"state": "PA",
"postal_code": "193550746",
"telephone_number": "580-249-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 SOUTH 5TH STREET",
"address_2": "SUITE 305",
"city": "ENID",
"state": "OK",
"postal_code": "737015862",
"telephone_number": "580-249-3003",
"fax_number": "580-237-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "STEPHEN",
"middle_name": "S",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "20382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100034970A",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.