Active NPI
Jung Jang Hwan MD
- Medical Specialty Clinic/Center
- Clarks Summit, PA
National Provider Identifier
1831387612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MD033267L
- Legal business name
- JUNG JANG HWAN MD
- Practice address
- 709 N State St
Clarks Summit, PA 18411-9139 - Phone
- (570) 587-4394
- NPI assigned
- Oct 5, 2007
- 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
- Jung Jang Hwan, M.D.
- Title
- Owner
- Phone
- (570) 587-4394
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | MD033267L | PA | Primary |
Addresses
Primary practice location
709 N State St
Clarks Summit, PA 18411-9139
Mailing address
709 N State St
Clarks Summit, PA 18411-9139
Phone (570) 587-4394
National Provider Directory
National Provider DirectoryLocations
709 N State St
South Abington Township, PA 18411
Phone (570) 586-6637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1831387612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 N STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184119139",
"telephone_number": "570-587-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184119139",
"telephone_number": "570-587-4394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNG JANG HWAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "HWAN",
"authorized_official_first_name": "JUNG",
"authorized_official_middle_name": "JANG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-587-4394",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "PA",
"license": "MD033267L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.