John Joon Ahn, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD422089 Issued in PA

Practice address

145 Hospital Ave
Ste 113
Du Bois, PA 15801-1463

Phone

(814) 375-3722

Fax

(814) 375-3363

NPI assigned

Jun 24, 2005

Last updated

Nov 10, 2014By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elk Regional Health Center

  dba Penn Highlands Elk

  • General Acute Care Hospital
  • Saint Marys, PA
  • NPI 1437396348

  Cardiovascular Disease

  NPD (past)
• North Arundel Cardiology Services, LLC

  • Cardiovascular Disease Physician
  • Glen Burnie, MD
  • NPI 1164436747
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1902802838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "STE 113",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011463",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "STE 113",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011463",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "JOHN",
        "middle_name": "JOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD422089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01959413",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Chiropractic of Dubois
• Advanced Chiropractic of Dubois
• Advanced Foot and Ankle Associates of Northwestern Pennsylvania PC
• Advantage Home Oxygen & Respiratory Services Inc
• Taseal Rahim Ahmed, MD
• Philip Akanbi
• Melodi Jo Albenze
• Julia Arin Alday, CERTIFIED REGISTERED
• Jennifer Alker, MA, LPC
• John E Allen, MD

• Cardiovascular Disease Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.