Active NPI
David J Ahn, M.D
- Internal Medicine Physician
- Fort Cavazos, TX
National Provider Identifier
1952836678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24209
- Practice address
- 590 Medical Center Road
Fort Cavazos, TX 76544 - Phone
- (310) 953-1921
- NPI assigned
- May 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 0101265225 | VA | |
| Hospitalist Physician | 208M00000X | 24209 | HI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 24209 | HI | Primary |
Addresses
Primary practice location
590 Medical Center Road
Fort Cavazos, TX 76544
Mailing address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (909) 433-1111
Other practice location 1
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2474
Other practice location 2
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2474
Other practice location 3
Unit 15190 Box Pyongtaek
Apo, AP 96271
Phone (315) 737-2767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101265225 | VA | MD | Military Health Care Provider |
| 24209 | HI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1952836678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "909-433-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER ROAD",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "310-953-1921"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-2474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Jarrett White Rd",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-2474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Unit 15190 Box Pyongtaek",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "96271",
"country_code": "US",
"telephone_number": "315-737-2767",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "AHN",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-01",
"last_updated": "2024-10-15",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "VA",
"license": "0101265225",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "HI",
"license": "24209",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "24209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.