Stephanie Kwon
D.O. | Pediatric Critical Care Medicine | Female
Stephanie Kwon, D.O. is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Stephanie Kwon is
171 Ashley Ave, Charleston, South Carolina - 29425-8908. She can be contacted on phone at
843-792-1414.
Stephanie Kwon is a sole proprietor of her business.
NPI number (Unique professional ID) for Stephanie Kwon is
1467879411 which was assigned by NPPES on 27 Mar, 2014 and it was last updated on 23 Oct, 2020.
Stephanie Kwon license number is
83174 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in South Carolina.
Stephanie Kwon is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Stephanie Kwon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Stephanie Kwon |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Stephanie Kwon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 171 Ashley Ave
Charleston, SC, 29425-8908
United States |
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| Phone Number : | 843-792-1414 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467879411 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Mar, 2014 |
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| Last Updated On : | 23 Oct, 2020 |
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Medicare Participation:
Stephanie Kwon participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1153699376 |
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| Medicare Enrollment ID : | I20200803002745 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Kansas City University Of Physicians And Surgeons |
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| Graduation Year : | 2014 |
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| Accepts Medicare? | Yes. Stephanie Kwon accepts medicare insurance. |
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Group Practice Association:
Stephanie Kwon is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stephanie Kwon is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| University Medical Associates | 6305758574 | 1198 | 171 Ashley Ave
Charleston, SC - 294258908
Ph: 8437921414 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Kwon are as mentioned. Primary taxonomy code for Stephanie Kwon, D.O. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 34013275 | OH |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 83174 | SC |
| 208M00000X | Hospitalist | No | 34-013275 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Stephanie Kwon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0271739 | MEDICAID | OH | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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444 BUTTERLY GARDENS DRIVE,
COLUMBUS, OH, 43215
United States | COLUMBUS, OH | 614-722-2000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Stephanie Kwon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.