Organization Active NPI

Yung H. Hwang, Inc

  • Ph.D. Medical Genetics
  • Carthage, MO
National Provider Identifier
1588995765
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
3276 Issued in MO
Legal business name
YUNG H. HWANG, INC
Practice address
327 E Airport Dr
Carthage, MO 64836-3402
Phone
(417) 358-4515
Fax
(417) 358-3663
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Mrs. Ginger Lea Hanson
Title
Office Manager
Phone
(417) 831-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X 3276 MO Primary

Addresses

Primary practice location

327 E Airport Dr
Carthage, MO 64836-3402

Mailing address

327 E Airport Dr
Carthage, MO 64836-3402
Phone (417) 358-4515

Other identifiers 2

IdentifierTypeStateIssuer
473640OtherMOBCBS PIN
200596518MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100730000351 MO Part B Supplier - Clinic/Group Practice 5193858991 Practice locations: Carthage, MO; Springfield, MO

National Provider Directory

National Provider Directory

Locations

327 E Airport Dr
Carthage, MO 64836
Phone (417) 237-0604

1450 E Kearney St
Springfield, MO 65803
Phone (417) 831-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1588995765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 E AIRPORT DR",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363402",
            "telephone_number": "417-358-4515",
            "fax_number": "417-358-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E AIRPORT DR",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363402",
            "telephone_number": "417-358-4515",
            "fax_number": "417-358-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNG H. HWANG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-831-0200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "MO",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "473640",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200596518",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.