JIYEON JEON (NPI# 1902223050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902223050 |
| Entity Type | Individual |
| Full Name | JIYEON JEON |
| Credential | MD |
| Practice Address |
727 S Wahanna Rd Seaside OR 97138-7735 |
| Mailing Address |
Po Box 3397 Portland OR 97208-3397 |
| Practice Telephone | 5037177060 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD190569 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036142569 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 474 N Lake Shore Dr Apt 2801, Chicago, IL 606116471 | 4045429470 |
| Street Address |
727 S WAHANNA RD |
| City | SEASIDE |
| State | OR |
| Zip Code | 97138-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647923 | Ravindra R Patil | Internal Medicine | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2005-05-27 |
| 1689229940 | Jacquelyn L Welborn | Nurse Practitioner | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2019-08-05 |
| 1871040857 | Allison K Walkowski | Nurse Practitioner | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-09-07 |
| 1255751921 | Steven Kyle Dailey | Orthopaedic Surgery | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2014-04-22 |
| 1184941619 | Providence Health & Services - Oregon | Clinic/Center | 727 S Wahanna Rd, Suite 101, Seaside, OR 97138-7735 | 2010-04-23 |
| 1598897027 | Mitra Oncology Associates, P.C. | Internal Medicine | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2007-03-10 |
| 1649344458 | Providence Health & Services Oregon | Clinic/Center | 727 S Wahanna Rd, Seaside, OR 97138 | 2006-11-20 |
| 1316928674 | Alfred Brooke Benz | Orthopaedic Surgery | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
| 1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
| 1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
| 1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
| 1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
| 1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
| 1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
| 1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
| 1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
| 1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
| Find all providers in zip 97138 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558469510 | Dominique Greco | Family Medicine | 725 S. Wahanna Rd, Seaside, OR 97138-7735 | 2006-09-20 |
| 1972600898 | Benjamin D Cockcroft | Family Medicine | 727 S. Wahanna Road, Seaside, OR 97138-7735 | 2006-09-20 |
| 1679510697 | Nicholas Jason Sasson | Family Medicine | 3401 Engineer Lane, Seaside, CA 93955-7200 | 2006-05-31 |
| 1881645158 | County of Monterey | Family Medicine | 1156 Fremont Blvd, Seaside, CA 93955-5756 | 2006-05-12 |
| 1578547576 | Steven C Reiner | Family Medicine | 727 S. Wahanna Rd, Seaside, OR 97138-7735 | 2005-12-02 |
| 1487915385 | Elvie Espiritu | Family Medicine | 1780 Fremont Blvd, Suite H, Seaside, CA 93955-3629 | 2012-06-06 |
| 1669500336 | County of Monterey | Family Medicine | 1156 Fremont Blvd, Seaside, CA 93955-5756 | 2007-03-02 |
| 1316088404 | James V. Sisk | Family Medicine | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2007-02-09 |
| 1720179740 | Hugh C. Stelson | Family Medicine | 727 S. Wahanna Road, Seaside, OR 97138-7735 | 2006-09-27 |
| 1346348935 | Lisa A Huddleston | Family Medicine | 727 S Wahanna Road, Seaside, OR 97138-7735 | 2006-09-20 |
| Find all providers in SEASIDE | ||||
Please comment or provide details below to improve the information on JIYEON JEON.
| 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.