Soo Young Hwang, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301048941 Issued in MI

Practice address

825 N Center Ave
Gaylord, MI 49735-1592

Phone

(989) 731-2201

Fax

(989) 731-2206

NPI assigned

Sep 21, 2006

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Munson Healthcare Otsego Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Gaylord, MI
  • NPI 1376568865
  NPD
• Munson Healthcare Otsego Memorial Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gaylord, MI
  • NPI 1376657239
  NPD
• Munson Healthcare Otsego Memorial Hospital

  dba Munson Healthcare OMH Medical Group-Gaylord

  • General Practice Physician
  • Gaylord, MI
  • NPI 1821064643
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1891894689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 ROBERTS AVE APT 2",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358387",
            "telephone_number": "989-732-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351592",
            "telephone_number": "989-731-2201",
            "fax_number": "989-731-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "SOO YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301048941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050092126",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0506900422",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4447615",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Hulbert, LBSW
• Jonathan Hunt, MA
• Melanie Hunt, LLPC
• Dustin Huss, PHARM. D
• Stephanie Hutchens, LLMSW
• Image North Gaylord PC
• Intelicare Hospice Services II, LLC (The Care Team)
• Irb Medical Equipment LLC (Hart Medical Equipment)
• Amy Carol Jaap, PHARMD
• Michael Ryan Jaisle, DDS

• Anesthesiology Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.