MRS. IRENE GUNG HO (NPI# 1821439811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821439811 |
| Entity Type | Individual |
| Full Name | MRS. IRENE GUNG HO |
| Credential | PA-C, MBA |
| Practice Address |
3203 Vineville Ave Ste A Macon GA 31204 |
| Mailing Address |
3203 Vineville Ave Ste A Macon GA 31204-2323 |
| Practice Telephone | 4784710273 |
| Practice Fax Number | 4784711471 |
| Mailing Telephone | 4784710273 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2018-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2496 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
006861 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003177670A | 05 | |
| GA | 003177670C | 05 | |
| GA | 003177670B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2938 Heritage Pl Ne Ste A, Milledgeville, GA 310617209 | 4784710273 | |
| 451 Baland Cir, Milledgeville, GA 310613921 | 4784710273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787078 | Irene Ho | Pharmacy | 11232 Lower Azusa Rd, El Monte, CA 91731-1412 | 2019-08-26 |
| 1356557052 | Irene L Ho | Internal Medicine | 519 Brian Dr, Cherry Hill, NJ 08003-3007 | 2007-05-16 |
| 1730690165 | Irene Ho | Physical Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2017-10-12 |
| 1114004058 | Irene O. Ho | Internal Medicine | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2006-10-31 |
| 1376641787 | Irene M Ho | Physician Assistant | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2006-09-20 |
| Street Address |
3203 VINEVILLE AVE STE A |
| City | MACON |
| State | GA |
| Zip Code | 31204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982015939 | Benjamin Laurence Ho | Family Medicine | 3203 Vineville Ave Ste A, Macon, GA 31204-2323 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1821219411 | Daniel Russell Mills | Social Worker | 3419 Ridge Ave., Macon, GA 31204 | 2007-05-01 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033309075 | Heidi Mans Atkins | Physician Assistant | 556 3rd St Ste A, Macon, GA 31201 | 2007-07-26 |
| 1982648200 | Gretchen D Suk | Physician Assistant | 1062 Forsyth St, Suite 1b, Macon, GA 31201-8637 | 2006-06-16 |
| 1295732576 | Christine Harrell | Physician Assistant | 1062 Forsyth St Ste 2e, Macon, GA 31201-8631 | 2005-07-01 |
| 1548265549 | Rallie D Cogburn Sr. | Physician Assistant | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2005-06-16 |
| 1942845375 | Emily Kerns | Physician Assistant | 1201 N Rutherford St, Macon, MO 63552-2020 | 2019-11-08 |
| 1245708072 | Amberly Hardison | Physician Assistant | 124 3rd St, Macon, GA 31201-3404 | 2018-11-09 |
| 1407266968 | Patricia Frances Baldwin | Physician Assistant | 400 Charter Blvd, Macon, GA 31210-4831 | 2014-05-05 |
| 1033405477 | Rachel Hinson Youngblood | Physician Assistant | 800 1st St Ste 410, Macon, GA 31201-8306 | 2011-06-23 |
| 1740598648 | Beth Scoggan Costolnick | Physician Assistant | 550 Professional Dr, Macon, GA 31201-1411 | 2010-09-14 |
| 1134452568 | Deana J Porter | Physician Assistant | 210 Mercer Jct, Macon, GA 31210-4016 | 2009-09-17 |
| Find all providers in MACON | ||||
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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.