CHONGMYONG DANIEL WON (NPI# 1689197139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689197139 |
| Entity Type | Individual |
| Full Name | CHONGMYONG DANIEL WON |
| Credential | PA-C |
| Practice Address |
1301 Sigman Rd Ne Ste 100 Conyers GA 30012-3819 |
| Mailing Address |
1000 Barone Ave Ne Apt 6102 Brookhaven GA 30329-1869 |
| Practice Telephone | 7707609360 |
| Mailing Telephone | 9015810370 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2018-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9514 Ash Grove Cv, Germantown, TN 381395640 | 9015810370 |
| Street Address |
1301 SIGMAN RD NE STE 100 |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215412754 | Sierra Moore | Physician Assistant | 1301 Sigman Rd Ne Ste 100, Conyers, GA 30012-3819 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356953 | Angelica Liliana Mcgowan | Physician Assistant | 2213 Exchange Pl Se Ste A, Conyers, GA 30013-6723 | 2018-11-30 |
| 1467453225 | William Stephen Steiner | Physician Assistant | 1315 Milstead Ave Ne, Conyers, GA 30012-3829 | 2005-08-02 |
| 1477192144 | Elham Laghaie | Physician Assistant | 2213a Exchange Pl Se, Conyers, GA 30013-6723 | 2019-12-30 |
| 1386116309 | Walker Lake Intensivist, PC | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2019-01-02 |
| 1437629342 | Walker Lake Emergency Group, PC | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2018-12-04 |
| 1215412754 | Sierra Moore | Physician Assistant | 1301 Sigman Rd Ne Ste 100, Conyers, GA 30012-3819 | 2018-10-01 |
| 1083190706 | Audrey Chasteen | Physician Assistant | 1370 Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2018-07-16 |
| 1750894408 | Chelsey Brack | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2017-11-15 |
| 1407392558 | Brilee Rogers | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2017-01-13 |
| 1821489485 | Elizabeth Ann Mcelmurry | Physician Assistant | 1775 Parker Rd Se, Conyers, GA 30094-6654 | 2015-02-17 |
| Find all providers in CONYERS | ||||
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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.