YOUNG WON KANG (NPI# 1811946866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811946866 |
| Entity Type | Individual |
| Full Name | YOUNG WON KANG |
| Credential | MD |
| Practice Address |
4855 River Green Pkwy Ste 140 Duluth GA 30096-8333 |
| Practice Telephone | 6784170077 |
| Practice Fax Number | 6784170337 |
| Mailing Telephone | 6784170077 |
| Mailing Fax Number | 6784170337 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2014-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35-066513 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
056302 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730457953 | Young M Kang | Nurse Practitioner | 29964 Crawford Pl, Castaic, CA 91384-4546 | 2011-12-02 |
| 1013092139 | Young Moo Kang | Family Medicine | 214 Aid Avenue, West Plains, MO 65775-0725 | 2006-10-26 |
| 1861424293 | Young Hee Kang | Family Medicine | 107 S Elms St, Welsh, LA 70591-4211 | 2006-07-07 |
| 1720050529 | Young M Kang | Specialist | 5933 Coronado Lane Ste 101, Pleasanton, CA 94588-8599 | 2006-02-06 |
| 1770560583 | Young Seon Kang | Dentist | 16300 Aurora Ave N, Suite G, Shoreline, WA 98133-2602 | 2005-12-22 |
| 1215912134 | Young Suk Kang | Dentist | Usa Dentac, B 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2005-12-13 |
| 1154985638 | Young Ri Kang | Nurse Practitioner | 8511 S Tacoma Way # 200, Lakewood, WA 98499-6521 | 2019-04-30 |
| 1750512760 | Young H Kang | Acupuncturist | 2751 27th St, Astoria, NY 11102-2451 | 2009-08-07 |
| 1013128677 | Young Hwa Kang | Dentist | 3544 W Olympic Blvd, Los Angeles, CA 90019-3500 | 2007-05-25 |
| 1386608388 | Young Suk Kang | Radiology | 751 S Bascom Ave, Diagnostic Imaging, San Jose, CA 95128-2604 | 2006-04-14 |
| Street Address |
4855 RIVER GREEN PKWY STE 140 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598266355 | Hye Sun Lee | Nurse Practitioner | 4855 River Green Pkwy Ste 140, Duluth, GA 30096-8333 | 2018-02-26 |
| 1356702849 | Amelia Joo | Nurse Practitioner | 4855 River Green Pkwy Ste 140, Duluth, GA 30096-8333 | 2016-03-11 |
| 1912366931 | River Parc Internal Medicine | Clinic/Center | 4855 River Green Pkwy Ste 140, Duluth, GA 30096-8333 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003078296 | Carzadean Bernadette Hall | Internal Medicine | 185 Franklin Farms Cir, Fayetteville, GA 30214-3361 | 2008-06-28 |
| 1164472338 | Ar Medical LLC | Internal Medicine | 15 Mcdonald St, Ludowici, GA 31316-4500 | 2006-05-11 |
| 1891767448 | Maurice Clifton | Internal Medicine | 1550 College St, Macon, GA 31207-1500 | 2006-02-07 |
| 1811986003 | Traiana Daciana Pacurar | Internal Medicine | 586 Islands Highway, Midway, GA 31320 | 2005-10-19 |
| 1588169759 | Treken Primary Care Inc | Internal Medicine | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2018-03-28 |
| 1063751402 | Focus Care Medical Center | Internal Medicine | 2171 Northlake Pkwy, Tucker, GA 30084-4104 | 2013-02-05 |
| 1831406024 | Vinilkumar Badri | Internal Medicine | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2010-09-09 |
| 1003076001 | Shonali Saha | Internal Medicine | 3200 Highlands Pkwy Se, Ste 400, Smyrna, GA 30082-5166 | 2008-06-12 |
| 1982714333 | Saima Khan | Internal Medicine | 1970 Riverside Pkwy, Lawrenceville, GA 30043-5937 | 2006-08-30 |
| 1023067147 | Ognjenka Goga Brkic-vukotic | Internal Medicine | 11050 Crabapple Rd, Suite 104 B, Roswell, GA 30075-2489 | 2006-05-08 |
| Find all providers with the same taxonomy | ||||
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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.