KO-AM GWINNETT MEDICAL (NPI# 1588935589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588935589 |
| Entity Type | Organization |
| Organization Name | KO-AM GWINNETT MEDICAL |
| Practice Address |
6062 Buford Hwy Suite 114 Norcross GA 30071-2424 |
| Practice Telephone | 7705570203 |
| Practice Fax Number | 6783955453 |
| Mailing Telephone | 7705570203 |
| Mailing Fax Number | 6783955453 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | MRS. JONG SANG WON (OWNER) |
| Authorized Official Telephone | 7705570203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
6062 BUFORD HWY SUITE 114 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538194808 | Tae Young Kim | Physical Therapist | 6062 Buford Hwy, Suite 117, Norcross, GA 30071-2424 | 2006-07-12 |
| 1790034395 | Thomas Kwang Sung Kim | Specialist | 6062 Buford Hwy, Suite 114, Norcross, GA 30071-2424 | 2012-08-29 |
| 1528368537 | Intermed PC | Internal Medicine | 6062 Buford Hwy, Suite 105-a, Norcross, GA 30071-2424 | 2010-10-25 |
| 1740516368 | United Medical Clinic Inc | Preventive Medicine | 6062 Buford Hwy, 117, Norcross, GA 30071-2424 | 2009-11-02 |
| 1649423690 | Seoul Medical and Pain Clinic Inc | Family Medicine | 6062 Buford Hwy, 120, Norcross, GA 30071-2424 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760756365 | Tri Healthcare Inc | General Practice | 4870 Peachtree Industrial Blvd, Suite 500, Norcross, GA 30071-5732 | 2012-02-28 |
| 1154582278 | Medico Familiar Inc. | General Practice | 5345 Jimmy Carter Blvd, Suite I, Norcross, GA 30093-1524 | 2008-06-20 |
| 1215112008 | Global Medical & Rehab Ctr | General Practice | 4711 Peachtree Industrial Blvd Ste B, Norcross, GA 30092-3023 | 2007-12-31 |
| 1649359753 | Surgical Consultants PC | General Practice | 5555 Buford Hwy, 501, Norcross, GA 30071-3957 | 2006-11-02 |
| 1851485775 | Kevin T Le | General Practice | 4935 Jimmy Carter Blvd Ste 360, Norcross, GA 30093-3536 | 2006-10-03 |
| 1225359276 | Jean P. Nazaire | General Practice | 5675 Jimmy Carter Blvd, Norcross, GA 30071-2965 | 2010-06-14 |
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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.