Okap Kwon MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35040512 Issued in OH

Legal business name

OKAP KWON MD INC

Doing business as

Okap Kwon MD

Practice address

964 East Main Street
Ravenna, OH 44266

Phone

(330) 296-3483

Fax

(330) 296-0756

NPI assigned

Apr 24, 2015

Last updated

Apr 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Okap Kwon, M.D.NPI 1124050968

Title

President

Phone

(330) 296-3483

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Okap Kwon MD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Okap Kwon, MD

  • Internal Medicine Physician
  • Ravenna, OH
  • NPI 1124050968
  Authorized official Same address or phone

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1811384118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 EAST MAIN STREET",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44266",
            "telephone_number": "330-296-3483",
            "fax_number": "330-296-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 EAST MAIN STREET",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44266",
            "telephone_number": "330-296-3483",
            "fax_number": "330-296-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKAP KWON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OKAP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-296-3483",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35040512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340545",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okap Kwon MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen O'Donnell
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• Emmanuel Chujekwu Okafor, M.D.
• Olivia Andrew (Truce Counseling & Wellness)
• Walter Omiecinski, CRNA
• Lindsey Opritza, LISW
• Meryl Ann Orlando, PH.D.
• Miranda H Ormiston

• Internal Medicine Physician in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.