Organization Active NPI

Dr Yang Ahn, MD, PC

  • Family Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1841293131
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19255 Issued in IA
Legal business name
DR YANG AHN, MD, PC
Doing business as
AHN CLINIC
Practice address
9255 Atlantic Dr SW
Cedar Rapids, IA 52404-8950
Phone
(319) 396-2000
Fax
(319) 396-5567
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Rochelle Ahn
Title
Office Manager
Phone
(319) 396-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 19255 IA Primary

Addresses

Primary practice location

9255 Atlantic Dr SW
Cedar Rapids, IA 52404-8950

Mailing address

9255 Atlantic Dr SW
Cedar Rapids, IA 52404-8950
Phone (319) 396-2000

Other identifiers 1

IdentifierTypeStateIssuer
0114496MedicaidIA

Other names 1

  • AHN CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

860 22nd Ave
Ste 1
Coralville, IA 52241
Phone (319) 338-8000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1841293131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 ATLANTIC DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524048950",
            "telephone_number": "319-396-2000",
            "fax_number": "319-396-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 ATLANTIC DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524048950",
            "telephone_number": "319-396-2000",
            "fax_number": "319-396-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR YANG AHN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-396-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "19255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114496",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.