ANNIE KYUNGA AHN


Address: 4033 Talbot Rd S Ste 540, Renton, WA 98055
Phone: 2065752602

ANNIE KYUNGA AHN (NPI# 1598182990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598182990
Entity Type Individual
Full Name ANNIE KYUNGA AHN
Practice Address 4033 Talbot Rd S Ste 540
Renton
WA 98055
Mailing Address 3600 Lind Ave Sw
Suite 100 Attn Credentialing
Renton
WA 98057-4970
Practice Telephone 2065752602
Practice Fax Number 2065752607
Mailing Telephone 4256902715
Enumeration Date 2014-03-24
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology MD60943971 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 2139652 05
MEDICARE W VALLEY MEDICAL GROUP - RENTON G9000068 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2106 Fairfax Ave, Apt 34, Nashville, TN 372123600 6159462989

Other Providers ANNIE AHN

NPI Name Taxonomy Address Enumeration
1508113010 Annie Ahn Psychologist 8 Corporate Park, Suite 300, Irvine, CA 92606-5144 2012-08-14

Office Location

Street Address 4033 TALBOT RD S STE 540
City RENTON
State WA
Zip Code 98055

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356965750 Proliance Surgery Center At Valley, LLC Clinic/Center 4009 Talbot Road S, Suite 200, Renton, WA 98055 2020-06-01
1851804959 Talbot Rehabilitation Center, LLC Skilled Nursing Facility 4430 Talbot Road South, Renton, WA 98055 2017-11-10
1154878668 Nelson Family Dentistry Dentist 19221 108th Ave Se Suite #2, Renton, WA 98055 2016-09-01
1376960138 Madhuri Gordhan Patel Registered Nurse 3501 Mill Place South, Renton, WA 98055 2014-03-18
1912331042 Karen Dohr Pharmacist 400 S. 43 Street, Renton, WA 98055 2013-08-26
1659637668 Benjamin Reiss Ophthalmology 4300 Talbot Rd S Ste 300, Renton, WA 98055 2012-04-03
1205137940 Duy Ai Quang Hoang Pharmacist 9431 S 196th Pl, Renton, WA 98055 2010-11-11
1972823664 Erica L Ellzey Physical Therapist 18623 112th Ave Se, Renton, WA 98055 2010-06-04
1588984587 Melissa A. Jordan Nurse Anesthetist, Certified Registered 4011 Talbot Rd., 5th Floor, Renton, WA 98055 2010-06-02
1437390960 Evelyn E.m.o Davies-venn Audiologist 4033 Talbot Rd So., #230, Renton, WA 98055 2009-03-12
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093872947 Eric T Waterman Otolaryngology 4300 Talbot Rd S Ste 311, Renton, WA 98055-6238 2007-01-02
1255409843 Martin R Greget Otolaryngology 401 South 43rd St, 200, Renton, WA 98055 2006-12-01
1447340823 Alan W Langman Otolaryngology 9714 3rd Ave Ne Suite 100, Renton, WA 98115 2006-10-13
1235453630 Public Hospital Distrioct #1 of King County Otolaryngology 4033 Talbot Rd S, Ste 230, Renton, WA 98055-5772 2010-03-15
1184877722 Charles H Caplan Md Inc Ps Otolaryngology 4033 Talbot Rd S, Suite 230, Renton, WA 98055-5772 2008-10-28
1215180864 Eric T Waterman Md, Pllc Otolaryngology 4300 Talbot Rd S Ste 311, Renton, WA 98055-6238 2008-10-28
1194973008 Scott Lungchi Lee Otolaryngology 4033 Talbot Rd S, Ste 540, Renton, WA 98055-5772 2008-09-04
1326105271 Charles H Caplan Otolaryngology 4033 Talbot Rd S, Ste 230, Renton, WA 98055-5772 2007-01-02
1942276258 Bryan Samuel Serkin Otolaryngology 4033 Talbot Rd S, Ste 540, Renton, WA 98055-5772 2006-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093220980 Sound E.n.t. Consultants, LLC Otolaryngology 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 2017-12-13
1104203793 Eric Andrew Eisen Otolaryngology 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 2015-05-03
1760810311 Gerald Guy Randolph Otolaryngology 10491 E State Route 106, Union, WA 98592 2013-10-17
1689007320 Aria Jafari Otolaryngology 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 2013-08-16
1326306317 Priyanka Shah O'brien Otolaryngology 1801 1st Ave Ste 3a, Longview, WA 98632-3271 2012-04-26
1033486402 Richard J. Cavell Otolaryngology 1013 Marshall Dr, Camano Island, WA 98282-8787 2011-11-29
1457628497 Robin Lee Downey Otolaryngology 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 2011-11-18
1588955785 Nicholas C Vanburen Otolaryngology 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 2011-04-22
1881925956 Steve Lars Risa Otolaryngology 4538 177th Ave Se, Bellevue, WA 98006-6519 2010-01-28
1043453533 Sapna Ashok Patel Otolaryngology 600 Broadway Ste 280, Seattle, WA 98122-5371 2009-04-13
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City RENTON
Zip Code 98055

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Dataset Information

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.

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