NICOLE B. KWON M.D. – NPI #1427349869
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

NICOLE KWON is a physician located in SANTA ROSA, CA. NPPES has assigned the NPI number 1427349869 to NICOLE KWON on April 20, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name BOON JUNG KWON. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 11 years ago on Aug 25, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE KWON below.

NPI Profile for
NICOLE B. KWON

NPI Number
1427349869
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE B. KWON
Former Name: BOON JUNG KWON
Credentials
M.D.
Primary location
34 MARK WEST SPRINGS ROAD
SECOND FLOOR
SANTA ROSA, CA 95403
Phone: (707) 541-7900 Fax: (707) 573-5413
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)		 CA A124134

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY - Graduated 2011
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICOLE KWON is affiliated with the following medical group(s):
  • HOSPITAL
    • CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP
      601 DUBOCE AVENUE
      SAN FRANCISCO, CA 94117
    • PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL
      1165 MONTGOMERY DR
      SANTA ROSA, CA 95405

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