Active NPI
Yung H. Hwang, Inc
- Ph.D. Medical Genetics
- Carthage, MO
National Provider Identifier
1588995765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- 3276
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473640 | Other | MO | BCBS PIN |
| 200596518 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100730000351 | MO | Part B Supplier - Clinic/Group Practice | 5193858991 | Practice locations: Carthage, MO; Springfield, MO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Student in an Organized Health Care Education/Training Program
- Far Rockaway, NY
- NPI 1740749738
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.