Organization Active NPI

Yoon Plastic Surgery, MD, LLC

  • Plastic Surgery Physician
  • Rockville, MD
National Provider Identifier
1720092901
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0063984 Issued in MD
Legal business name
YOON PLASTIC SURGERY, MD, LLC
Practice address
9715 Medical Center Dr
Suite 233
Rockville, MD 20850-3320
Phone
(301) 913-0304
Fax
(301) 913-0306
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Sung Won Yoon, MD
Title
Director
Phone
(301) 913-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X D0063984 MD Primary

Addresses

Primary practice location

9715 Medical Center Dr
Suite 233
Rockville, MD 20850-3320

Mailing address

9715 Medical Center Dr
Suite 233
Rockville, MD 20850-3320
Phone (301) 913-0304

Other identifiers 3

IdentifierTypeStateIssuer
128080OtherDCMEDICARE PTAN
128080Y26OtherDCPROVIDER
128080OtherDCPTAN

National Provider Directory

National Provider Directory

Locations

6845 Elm St
Ste 304
McLean, VA 22101
Phone (301) 913-0304

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1720092901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR",
            "address_2": "SUITE 233",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503320",
            "telephone_number": "301-913-0304",
            "fax_number": "301-913-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR",
            "address_2": "SUITE 233",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503320",
            "telephone_number": "301-913-0304",
            "fax_number": "301-913-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOON PLASTIC SURGERY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-913-0304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0063984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "128080",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "128080Y26",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "128080",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.