NPIMap

Organization Active NPI

Douglas Ahn MD PLLC

  • Family Medicine Physician
  • Syracuse, NY
National Provider Identifier
1700070216
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229831 Issued in NY
Legal business name
DOUGLAS AHN MD PLLC
Practice address
739 Irving Ave Ste 510
Syracuse, NY 13210-1663
Phone
(315) 422-2999
Fax
(315) 422-1141
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Douglas S Ahn, MDNPI 1609934025
Title
Physician/Owner
Phone
(315) 422-2999

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 229831 NY Primary

Addresses

Primary practice location

739 Irving Ave Ste 510
Syracuse, NY 13210-1663

Mailing address

6 Rhoads Dr
Utica, NY 13502-6317
Phone (315) 738-7883

National Provider Directory

National Provider Directory

Locations

739 Irving Ave
Ste 510
Syracuse, NY 13210
Phone (315) 422-2999

Practitioners & affiliated clinicians

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1700070216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RHOADS DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026317",
            "telephone_number": "315-738-7883",
            "fax_number": "315-738-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE STE 510",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101663",
            "telephone_number": "315-422-2999",
            "fax_number": "315-422-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS AHN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "315-422-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.