JUSTIN K KWON (NPI# 1881020295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881020295 |
| Entity Type | Individual |
| Full Name | JUSTIN K KWON |
| Credential | PA-C |
| Practice Address |
17 1st St E Stanton TN 38069-4426 |
| Practice Telephone | 7315482232 |
| Practice Fax Number | 7315482236 |
| Mailing Telephone | 7315482232 |
| Mailing Fax Number | 7315482236 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2404 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE LICENSE | PA2404 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982745634 | Justin Jin Kwon | Dentist | 10700 E Bethany Dr Ste 210, Aurora, CO 80014-2680 | 2007-02-08 |
| 1780031666 | Justin Kwon | Pharmacist | 485 Ela Rd, Lake Zurich, IL 60047-2367 | 2016-05-19 |
| Street Address |
17 1ST ST E |
| City | STANTON |
| State | TN |
| Zip Code | 38069-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356531610 | Hardeman County Community Health Center | Clinic/Center | 17 1st St E, Stanton, TN 38069-4426 | 2007-08-01 |
| 1760868590 | Leland R Cornelius | Family Medicine | 17 1st St E, Stanton, TN 38069-4426 | 2015-08-04 |
| 1730585878 | Melanie Gilliland | Nurse Practitioner | 17 1st St E, Stanton, TN 38069-4426 | 2014-11-18 |
| 1588992663 | Dr. C. R. White and Associates Dental Center,inc. | Dental Assistant | 17 1st St E, Stanton, TN 38069-4426 | 2009-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457304396 | Ejikeme Uchenna Nwokolo | Internal Medicine | 17 First Street East, Stanton, TN 38069 | 2006-05-19 |
| 1871838466 | The Heavenly Oak Adult Day Care | Custodial Care Facility | 8 Oak Street, Stanton, TN 38069-3417 | 2012-12-07 |
| 1174121735 | Takindra Worles | Social Worker | 164 Summit Rd, Stanton, TN 38069-4646 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
| 1306446109 | Andrea Huizar | Behavioral Analyst | 10236 Fern Ave, Stanton, CA 90680-1711 | 2020-10-29 |
| 1174121735 | Takindra Worles | Social Worker | 164 Summit Rd, Stanton, TN 38069-4646 | 2020-10-15 |
| 1881292514 | Miriam Herrera Salgado | Dentist | 10232 Macduff St, Stanton, CA 90680-1822 | 2020-10-14 |
| 1003422676 | Amber M Ryan | Nurse Practitioner | 2799 N Cedar Lake Rd, Stanton, MI 48888-9417 | 2020-09-18 |
| 1497365126 | Brenda Patricia Ramos Zavala | Behavior Technician | 12235 Beach Blvd Ste 110, Stanton, CA 90680-3943 | 2020-08-06 |
| 1609491919 | Mary Nguyen | Student in an Organized Health Care Education/Training Program | 8350 Palais Rd, Stanton, CA 90680-1717 | 2020-06-11 |
| 1316569189 | Sri Sai Krish Institute | Nursing Care | 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 | 2020-05-14 |
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1497375448 | Sheridan Home Care | In Home Supportive Care | 129 E. Main St, Stanton, MI 48888-9998 | 2020-04-20 |
| Find all providers in STANTON | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144697061 | Anna West | Physician Assistant | 2939 S Sheridan Rd, Stanton, MI 48888-9285 | 2015-08-26 |
| 1447364898 | Troy David Brooks | Physician Assistant | 351 N Main St, Stanton, KY 40380-2177 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
| 1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
| 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.