Active NPI
Yoon Plastic Surgery, MD, LLC
- Plastic Surgery Physician
- Rockville, MD
National Provider Identifier
1720092901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- D0063984
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128080 | Other | DC | MEDICARE PTAN |
| 128080Y26 | Other | DC | PROVIDER |
| 128080 | Other | DC | PTAN |
National Provider Directory
National Provider DirectoryLocations
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.