DR. JASON LEE KANG (NPI# 1932390457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932390457 |
| Entity Type | Individual |
| Full Name | DR. JASON LEE KANG |
| Credential | M.D. |
| Practice Address |
807 S Ponderosa St Payson AZ 85541-5542 |
| Mailing Address |
Po Box 15070 Scottsdale AZ 85267-5070 |
| Practice Telephone | 6023869982 |
| Practice Fax Number | 4842319982 |
| Mailing Telephone | 4804219700 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2015-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 32583 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114147360 | Jason C Kang | Dentist | 3055 Wilshire Blvd, #110, Los Angeles, CA 90010-1118 | 2007-04-30 |
| 1578905063 | Jason Kang | Physical Therapist | 269 W 16th St, New York, NY 10011-6000 | 2013-07-24 |
| 1972869782 | Jason Raphael Kang | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-5006 | 2012-04-05 |
| 1013134402 | Jason Kang | Pathology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2007-04-19 |
| Street Address |
807 S PONDEROSA ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357360 | Guy Caraffa | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2005-06-24 |
| 1205320777 | Jessica L Balcom | Nurse Practitioner | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2018-06-19 |
| 1063923340 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-10-13 |
| 1568995470 | Andrew Clark | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-04-07 |
| 1972056588 | Jacob Troy Russell | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2016-07-31 |
| 1114301017 | Banner Health | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-07-10 |
| 1063893121 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-06-15 |
| 1831503697 | Alex Vlahopoulos | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541 | 2014-06-19 |
| 1912280900 | Pine View Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2011-09-26 |
| 1013221290 | Nagendra Gupta | Internal Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2010-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1083226369 | Advanced Wound Care | Internal Medicine | 871 S 500 W, Payson, UT 84651-3201 | 2020-08-19 |
| 1356432009 | Ellis William Leroy | Internal Medicine | 1120 E 100 N, # 1, Payson, UT 84651 | 2006-09-27 |
| 1629038542 | Jaber Abawi | Internal Medicine | 1106 N Beeline Hwy, Payson, AZ 85541-3714 | 2006-03-24 |
| 1346233921 | Tamerut Anna Adams | Internal Medicine | 117 E Main St Ste A100, Payson, AZ 85541-4606 | 2005-08-29 |
| 1093718694 | Payson Healthcare Management Inc | Internal Medicine | 126 E Main St Ste B, Payson, AZ 85541-5488 | 2005-05-27 |
| 1013221290 | Nagendra Gupta | Internal Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2010-07-30 |
| 1780756817 | Ali A Askari, PC | Internal Medicine | 1106 N Beeline Hwy, Payson, AZ 85541-3714 | 2006-11-14 |
| 1396846457 | Jaber Abawi Md Inc | Internal Medicine | 1106 N Beeline Hwy, Payson, AZ 85541-3714 | 2006-09-25 |
| 1023087459 | Judith A Hunt | Internal Medicine | 806 S Ponderosa St, Payson, AZ 85541-5541 | 2006-03-17 |
| 1376512129 | Alan P Michels | Internal Medicine | 806 S Ponderosa St, Payson, AZ 85541-5541 | 2006-03-15 |
| Find all providers in PAYSON | ||||
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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.