JUNG HYUN KOH (NPI# 1740639731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740639731 |
| Entity Type | Individual |
| Full Name | JUNG HYUN KOH |
| Credential | ARNP |
| Practice Address |
550 Redstone Ave W Suite 200 Crestview FL 32536-6428 |
| Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
| Practice Telephone | 8506826122 |
| Practice Fax Number | 8506825917 |
| Mailing Telephone | 8506826122 |
| Mailing Fax Number | 8506825917 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9355800 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 REDSTONE AVE W SUITE 200 |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730161126 | Anne Denys | Orthopaedic Surgery | 550 Redstone Ave W, Ste 370, Crestview, FL 32536-6428 | 2005-11-19 |
| 1033642350 | Charles Eugene Hewett IIi | Specialist/Technologist | 550 Redstone Ave W, Crestview, FL 32536-6428 | 2017-04-04 |
| 1942441795 | Kara O Brooks | Family Medicine | 550 Redstone Ave W, Suite 200, Crestview, FL 32536-6428 | 2009-03-07 |
| 1477738896 | North Okaloosa Clinic Corp | Durable Medical Equipment & Medical Supplies | 550 Redstone Ave W, Ste. 370, Crestview, FL 32536-6428 | 2008-01-03 |
| 1851570071 | Crestview Hospital Corporation | Orthopaedic Surgery | 550 Redstone Ave W, Suite 370, Crestview, FL 32536-6428 | 2007-10-25 |
| 1154512358 | Gary Charles Perez | Physician Assistant | 550 Redstone Ave W, Suite 370, Crestview, FL 32536-6428 | 2007-08-05 |
| 1528258159 | Janet S Hamby | Obstetrics & Gynecology | 550 Redstone Ave W, Suite 450, Crestview, FL 32536-6432 | 2007-07-30 |
| 1033320312 | Gregory Coates | Obstetrics & Gynecology | 550 Redstone Ave W, Suite 470, Crestview, FL 32536-6428 | 2007-05-25 |
| 1609090158 | Marcello A Borzatta Md Pa | Surgery | 550 Redstone Ave W, Suite 430, Crestview, FL 32536-6428 | 2007-04-13 |
| 1508911843 | Dennis A Stewart Md Pa | Surgery | 550 Redstone Ave W, Ste 320, Crestview, FL 32536-6428 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083967756 | William Douglas Necaise | Nurse Practitioner | 2640 Sorrel Ridge Rd, Crestview, FL 32536-4329 | 2012-10-18 |
| 1508141375 | Sharon Skrabacz | Nurse Practitioner | 127 E Redstone Ave Ste B, Crestview, FL 32539-5356 | 2011-10-12 |
| 1881835122 | Beckie L Turner | Nurse Practitioner | 1209 Pinewood Ln, Crestview, FL 32539-8509 | 2009-03-17 |
| 1366690455 | Lela Mae Stroud | Nurse Practitioner | 2875 Lake Silver Rd, Crestview, FL 32536-7183 | 2008-09-03 |
| 1740227503 | Christina Cerise Johnson | Nurse Practitioner | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2006-06-01 |
| 1003372194 | Adam C Hargis | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2019-02-14 |
| 1194244558 | Brandie Crawford | Nurse Practitioner | 600 Hospital Dr, Crestview, FL 32539-7356 | 2017-09-15 |
| 1104176833 | Kelly Smidebush | Nurse Practitioner | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 | 2012-09-10 |
| 1962453969 | Angelo Marcus Mishio | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2006-05-14 |
| 1336126978 | Okaloosa Emergency Group LLC | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2005-12-26 |
| Find all providers in CRESTVIEW | ||||
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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.