Jung Wook Kang Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01072730A Issued in IN

Practice address

520 Mary St Ste 340
Evansville, IN 47710-1679

Phone

(812) 450-6700

Fax

(812) 450-6710

NPI assigned

May 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jung Wook Kang Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
• The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
• Methodist Hospital Union County Hospital, Morganfield, KY, CCN 181306

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsmith65901@direct.deaconess.com

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.

• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585
  Medicare reassignment Care Compare group NPD
• Deaconess Clinic, Inc

  • Family Medicine Physician
  • Newburgh, IN
  • NPI 1306092689
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Home Health, LLC

  • Home Health Agency
  • Evansville, IN
  • NPI 1285285676
  Care Compare affiliation
• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation
• Deaconess Women'S Hospital of Southern Indiana, LLC

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1114023512
  Care Compare affiliation
• Deaconess Union County Hospital, Inc

  • Critical Access Hospital
  • Morganfield, KY
  • NPI 1497320519
  Care Compare affiliation
• Methodist Health, Inc.

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  Care Compare affiliation

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1770842460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "270-844-8027",
            "fax_number": "270-844-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST STE 340",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101679",
            "telephone_number": "812-450-6700",
            "fax_number": "812-450-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG SMITH",
        "first_name": "JUNG WOOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "46091",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01072730A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNG WOOK",
            "last_name": "KANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ann Kalb, PH.D.
• Monica Kalia, OD
• Savannah L Kalmanek, CRNA
• Elizabeth Ann Kandel, DMD
• Sarah Alexandra Kane, LCSW
• Henry B Kaplan, D.O.
• Karen O'Donnell Speech and Language Services
• Brittany Karges
• Ahmad Z Karim, M.D.
• Rafay Karim

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.