Active NPI
Sung W Yoon, M.D.
- Plastic Surgery Physician
- Rockville, MD
National Provider Identifier
1730164369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- D0063984
- Practice address
- 9715 Medical Center Dr
Suite 233
Rockville, MD 20850-3320 - Phone
- (301) 913-0304
- Fax
- (301) 913-0306
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128076Y26 | Other | DC | MEDICARE PROVIDER NUMBER |
| 128076Y26 | Other | DC | PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Erkenbeck Skilling Kowalski & Cooper CHTD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Chevy Chase, MD
- NPI 1518160068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1730164369",
"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": {
"last_name": "YOON",
"first_name": "SUNG",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MD",
"license": "D0063984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "128076Y26",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "128076Y26",
"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.