Kun Woo Nam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35044948 Issued in OH

Practice address

1441 S Main St
North Canton, OH 44720-4245

Phone

(330) 244-8888

Fax

(330) 244-8850

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Town Park Physical Therapy & Wellness Center LLC

  • Physical Therapist
  • Ashland, OH
  • NPI 1649669110
  NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1851409189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182819",
            "telephone_number": "330-244-8888",
            "fax_number": "330-244-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204245",
            "telephone_number": "330-244-8888",
            "fax_number": "330-244-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "KUN",
        "middle_name": "WOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35044948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427845",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• N E Family Care Center
• N.P. House Calls, LTD
• Courtney N Nabors, SLP-CCC
• Benjamin Harris Nafziger, DPM
• Diane M Nageotte, PT
• Lauren A Nanni, OTR/L
• Samantha Nartker, CCC-SLP
• Stephanie M Nash, PTA
• National Diagnostic Imaging Consultants
• National Seating & Mobility, Inc.

• Internal Medicine Physician in North Canton, OH
• Providers in North Canton, 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 Jan 17, 2018; 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.