Y.C. Ahn, M.D., P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

11651 Issued in OK

Legal business name

Y.C. AHN, M.D., P.L.L.C.

Practice address

1800 W 1St St
Suite 1
Elk City, OK 73644-3133

Phone

(580) 243-0100

Fax

(580) 243-0807

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yoo Chul Ahn, M.D.

Title

Physician/Ceo

Phone

(580) 243-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932138062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 1",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-243-0100",
            "fax_number": "580-243-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 1",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-243-0100",
            "fax_number": "580-243-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y.C. AHN, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "YOO",
        "authorized_official_middle_name": "CHUL",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "580-243-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "11651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "091565914-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Elk City, OK
• Providers in Elk City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.