Organization Active NPI

Jung Jang Hwan MD

  • Medical Specialty Clinic/Center
  • Clarks Summit, PA
National Provider Identifier
1831387612
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD033267L Issued in PA
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

Updated by the provider on Oct 5, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.