DR. SOO YUN KWON (NPI# 1790771657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790771657 |
| Entity Type | Individual |
| Full Name | DR. SOO YUN KWON |
| Credential | M.D. |
| Practice Address |
9525 Queens Blvd Ste A Rego Park NY 11374-4511 |
| Practice Telephone | 9172738136 |
| Practice Fax Number | 7189256210 |
| Mailing Telephone | 9172738136 |
| Mailing Fax Number | 7189256210 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
036112116 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952352403 | Soo H Kwon | Acupuncturist | 3727 W 6th Street, Ste 602, Los Angeles, CA 90020 | 2006-05-12 |
| Street Address |
9525 QUEENS BLVD STE A |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629469507 | Anna Romanova | Obstetrics & Gynecology | 1176 5th Ave Fl 9, New York, NY 10029-6503 | 2015-02-12 |
| 1932531340 | Emil Gurshumov Medical P.C. | Obstetrics & Gynecology | 2265 Ocean Pkwy, Apt 2b, Brooklyn, NY 11223-5149 | 2013-08-08 |
| 1215281910 | Mount Sinai School of Medicine | Obstetrics & Gynecology | 8268 164th St Rm B265, Jamaica, NY 11432-1121 | 2012-11-01 |
| 1578839676 | Ann Tran | Obstetrics & Gynecology | 27 Barker Ave Apt 404, White Plains, NY 10601-1559 | 2012-03-23 |
| 1760775498 | Toy Gee Lee | Obstetrics & Gynecology | 601 Elmwood Ave Box 668, Rochester, NY 14642-0001 | 2011-05-27 |
| 1063746840 | Chandhana Paka | Obstetrics & Gynecology | 425 W 59th St # 4b, New York, NY 10019-8022 | 2009-09-25 |
| 1881891661 | Tirsit Shiferaw Asfaw | Obstetrics & Gynecology | 525 E 68th St # J130, New York, NY 10065-4870 | 2007-06-27 |
| 1407848906 | Samuel S Badalian | Obstetrics & Gynecology | 104 Union Ave Suite 803, Syracuse, NY 13203 | 2005-08-19 |
| 1104827583 | Anne Hardart | Obstetrics & Gynecology | 425 West 59th Street, Suite 9b, New York, NY 10019-1104 | 2005-08-09 |
| 1578564266 | Lisa Dabney | Obstetrics & Gynecology | 425 W 59th St Ste 5d, Obgyn Associates of Slr, New York, NY 10019-8022 | 2005-08-03 |
| Find all providers with the same taxonomy | ||||
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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.