DR. JASON JOUNGWOO NAM M.D. NPI 1689013054

NPI Information

NPI: 1689013054
Provider Name: DR. JASON JOUNGWOO NAM, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: WAKEMED SPECIALISTS GROUP LLC

PECOS Registration: Yes

Address:
3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8000
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DR. Jason Joungwoo Nam, M.D. is a general practice in Raleigh, NC with 11 years of experience. DR. Jason Joungwoo Nam, M.D. NPI is 1689013054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (919) 350-8000

The NPI 1689013054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2013 and was last updated on 3/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		0101256785	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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