DR. JAEKYOUNG AUDREY HONG (NPI# 1093827883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093827883 |
| Entity Type | Individual |
| Full Name | DR. JAEKYOUNG AUDREY HONG |
| Credential | MD |
| Practice Address |
520 Medical Center Dr Suite 200 Medford OR 97504-4314 |
| Practice Telephone | 5419307222 |
| Practice Fax Number | 5419307220 |
| Mailing Telephone | 5419307222 |
| Mailing Fax Number | 5419307220 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD60091925 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD177602 | OR | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD60091925 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
520 MEDICAL CENTER DR SUITE 200 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095199 | Joel A Tobias | Internal Medicine | 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 | 2005-10-04 |
| 1033588546 | Daniel Neville | Physician Assistant | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2015-09-15 |
| 1063855161 | App Cardiovascular Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2013-04-09 |
| 1205180098 | Stephani Kathleen Cook | Physician Assistant | 520 Medical Center Dr, Suite 300, Medford, OR 97504-4334 | 2012-11-01 |
| 1790014074 | Christopher Charles Davis | Physician Assistant | 520 Medical Center Dr, Suite 300, Medford, OR 97504-4334 | 2009-12-15 |
| 1033444781 | Southern Oregon Cardiology LLC | Internal Medicine | 520 Medical Center Dr, Ste 200, Medford, OR 97504-4314 | 2009-10-14 |
| 1104056092 | Dani J Thomas | Internal Medicine | 520 Medical Center Dr, Suite 2001, Medford, OR 97504-4334 | 2009-07-26 |
| 1265675599 | Natalie E Baxter | Physician Assistant | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4334 | 2009-04-16 |
| 1629267414 | Pamela Reeger Cortell | Nurse Practitioner | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-10-17 |
| 1144412529 | Patrick Joseph Phelan | Surgery | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215978671 | Roger J. Dreiling | Internal Medicine | 1698 E Mcandrews Rd Ste 300, Medford, OR 97504-5590 | 2006-06-09 |
| 1164506895 | Roger C Osborn Jr. | Internal Medicine | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425493 | Cardiac Cin of Oregon LLC | Internal Medicine | 1867 Williams Hwy Ste 289, Grants Pass, OR 97527-5854 | 2018-01-31 |
| 1477994101 | Sena Kilic | Internal Medicine | 3181 Sw Sam Jackson Park Rd Fl Uhn622, Portland, OR 97239-3011 | 2013-07-10 |
| 1255455929 | Cameron A. Ramsay | Internal Medicine | 19250 Sw 65th Ave Ste 265, Tualatin, OR 97062-7747 | 2007-03-19 |
| 1114081700 | George Kubac | Internal Medicine | 2614 Clover St, Klamath Falls, OR 97601-1132 | 2006-12-20 |
| 1437111507 | Northwest Cardiologists, P.C. | Internal Medicine | 333 Se 7th Ave, Suite 5200, Hillsboro, OR 97123-4157 | 2006-04-04 |
| 1114923760 | Vincent P Reyes | Internal Medicine | 349 Se 7th Ave, Hillsboro, OR 97123-4112 | 2005-06-27 |
| 1588126650 | Cor Care of Or, LLC | Internal Medicine | 1867 Williams Hwy Ste 289, Grants Pass, OR 97527-5854 | 2019-04-05 |
| 1467719641 | Ross Vimr | Internal Medicine | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-04-12 |
| 1932499373 | Deepika Narasimha | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2011-04-18 |
| 1265745715 | Ashraf Abusara | Internal Medicine | 2801 Nw Mercy Dr Ste 300, Roseburg, OR 97471-2348 | 2010-07-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.