MRS. IRENE GUNG HO PA-C MBA NPI 1821439811

NPI Information

NPI: 1821439811
Provider Name: MRS. IRENE GUNG HO, PA-C, MBA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3203 VINEVILLE AVE STE A
MACON, GA
ZIP 31204
Phone: (478) 471-0273
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MRS. Irene Gung Ho, PA-C, MBA is a medical physician assistant in Macon, GA. MRS. Irene Gung Ho, PA-C, MBA NPI is 1821439811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3203 VINEVILLE AVE STE A
MACON, GA
ZIP 31204
Phone: (478) 471-0273
Fax: (478) 471-1471

The NPI 1821439811 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 7/8/2013 and was last updated on 6/30/2018.

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	363A00000X	Physician Assistant		2496	GEORGIA	No
2	363AM0700X	Physician Assistant	Medical	006861	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	003177670A	MEDICAID	GEORGIA
2	003177670C	MEDICAID	GEORGIA
3	003177670B	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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