Ohmin Kwon MD PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

OHMIN KWON MD PLLC

Practice address

5652 E Baseline Rd
Mesa, AZ 85206-4713

Phone

(310) 970-4481

Fax

(948) 356-8192

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Ohmin Kwon, MDNPI 1316409246

Title

Owner

Phone

(310) 970-4481

Specialties & licenses 1

Addresses

Other names 1

• OHMIN KWON MD Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ohmin Kwon, MD

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1316409246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1740964170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W CAMELBACK RD STE A330",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132529",
            "telephone_number": "310-970-4481",
            "fax_number": "948-356-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064713",
            "telephone_number": "310-970-4481",
            "fax_number": "948-356-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHMIN KWON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OHMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-970-4481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHMIN KWON MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ohana Kids & Family Kare LLC
• Tom Ohara, D.C.
• Jennifer Susan Ohlund, LAC
• Connor H Ohmart, MD
• Rodney H Ohmart, MD
• Ohr Counseling Center LLC
• Joelle Oizumi, PH.D.
• Jaclynn E Ojeda, PT, DPT, COMT
• Anita Ojha-Hammad, MD
• Linda Okafor, FNP

• Physical Medicine & Rehabilitation Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.

Verify at the official NPI Registry.