JOHN H. KWON (NPI# 1720046386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720046386 |
| Entity Type | Individual |
| Full Name | JOHN H. KWON |
| Credential | M.D. |
| Practice Address |
2750 Gause Blvd E Slidell LA 70461 |
| Mailing Address |
1514 Jefferson Hwy Ste 135 New Orleans LA 70121-2429 |
| Practice Telephone | 9856393777 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 28252 | AZ | Other Service Providers |
| Y | 207N00000X | Dermatology | 308461 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CCN | 5239785 | 01 |
| AZ | ARIZONA # | AZ0737860 | 01 |
| AZ | BCBS OF AZ | P0890630 | 01 |
| AZ | FIRST HEALTH | 1836633 | 01 |
| AZ | HEALTHNET | 1Z9556 | 01 |
| AZ | STATE LICENCE | 28252 | 01 |
| AZ | CIGNA | 2871146 | 01 |
| AZ | AETNA | 7710121 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16515 S 40th St, Suite 135, Phoenix, AZ 850480558 | 4807069300 | 4807069301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366804676 | John Kwon | Pharmacist | 5300 Baltimore Pike, Clifton Heights, PA 19018 | 2016-03-25 |
| 1528494085 | John Hee Chang Kwon | Dentist | 2332 W 235th Pl, Torrance, CA 90501-5701 | 2013-09-16 |
| 1881036853 | John Hyukbum Kwon | Dentist | 4300 Spruce St Apt B303, Philadelphia, PA 19104-4727 | 2013-07-19 |
| 1275729626 | John Y. Kwon | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2007-09-19 |
| 1104988708 | John M Kwon | Physical Therapist | 10900 Warner Ave Ste 111, Fountain Valley, CA 92708-3846 | 2006-12-14 |
| 1841232741 | John Hyungjun Kwon | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2006-06-12 |
| Street Address |
2750 GAUSE BLVD E |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106952 | Karen Adeline Purdy | Family Medicine | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2005-07-05 |
| 1427665058 | Sherry Kern | Nutritionist | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2020-09-28 |
| 1245860725 | Cadence Tara Griffing | Family Medicine | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2020-01-23 |
| 1811471451 | Heather S. Rezza | Nurse Practitioner | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2018-09-19 |
| 1609359843 | Megan Minter Lemon | Nurse Practitioner | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2018-09-13 |
| 1053803551 | Pleshetta Dewan Dillon Jackson | Nurse Practitioner | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2018-05-31 |
| 1295266419 | Andrea Juneau | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2017-03-21 |
| 1952840407 | Lien Fradella | Nurse Practitioner | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2017-02-16 |
| 1861871949 | Ashley Simon | Family Medicine | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2015-05-22 |
| 1619378148 | Lisa Marie Guzman | Nurse Practitioner | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235643891 | Esthetic Md | Dermatology | 3769 Pontchartrain Dr Ste 3, Slidell, LA 70458-4852 | 2017-11-18 |
| 1447462536 | Deborah C. Hilton | Dermatology | 1051 Gause Blvd Ste 460, Slidell, LA 70458-2985 | 2007-05-03 |
| 1679594212 | Kate Kathleen Mcdonald | Dermatology | 380 Gateway Dr, Slidell, LA 70461-5591 | 2006-07-21 |
| 1588627244 | Eric Neal Tabor | Dermatology | 2780 Gause Blvd E, Suite A, Slidell, LA 70461-4149 | 2006-04-11 |
| 1760749246 | Sophia Mai | Dermatology | 1051 Gause Blvd, #460, Slidell, LA 70458-2951 | 2012-04-20 |
| 1508165481 | Helene Marguerite Erickson | Dermatology | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2011-03-18 |
| 1134373483 | Dimitri Dermatology | Dermatology | 300 Gateway Dr, Slidell, LA 70461-5540 | 2008-11-13 |
| 1821285974 | E. M. Dimitri, D.o. Pmc | Dermatology | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 | 2007-10-02 |
| 1730255878 | Michael K Weil, Md, Apmc | Dermatology | 380 Gateway Dr, Slidell, LA 70461-5540 | 2006-11-28 |
| 1780750802 | Michael K Weil | Dermatology | 380 Gateway Dr, Slidell, LA 70461-5540 | 2006-11-28 |
| Find all providers in SLIDELL | ||||
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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.