| Hyun-soon Ellen Kwark, MD | |
|
706 Green Valley Rd Ste 104, Greensboro, NC 27408-7043 | |
| (336) 387-2500 | |
| (336) 387-2501 |
| Full Name | Hyun-soon Ellen Kwark |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology |
| Location | 706 Green Valley Rd Ste 104, Greensboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487730800 | NPI | - | NPPES |
| 184959 | Other | NY | NY STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | 2010-00097 (North Carolina) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 2010-00097 (North Carolina) | Primary |
| Entity Name | Greensboro Pathology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023084340 PECOS PAC ID: 1153315643 Enrollment ID: O20040707001432 |
| Mailing Address | Practice Location Address |
|---|---|
| Hyun-soon Ellen Kwark, MD 760 Westchester Avenue, Rye Brook, NY 10573-1320 Ph: (914) 698-5706 | Hyun-soon Ellen Kwark, MD 706 Green Valley Rd Ste 104, Greensboro, NC 27408-7043 Ph: (336) 387-2500 |
Valerie Jeanette Fields, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4380 Federal Dr, Suite1, Greensboro, NC 27410 Phone: 336-315-6270 Fax: 336-235-0435 | |
Kelly Leigh West, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2006 New Garden Road, Suite 106, Greensboro, NC 27410 Phone: 336-609-6240 | |
Dr. Julia Sodeman Manny, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 706 Green Valley Rd, Ste 104, Greensboro, NC 27408 Phone: 336-387-2500 | |
Dr. Janice Johnson Hessling, M.D., PH.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4380 Federal Dr, Suite 100, Greensboro, NC 27410 Phone: 336-664-6105 Fax: 336-235-0434 | |
Jonathan Yao, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 706 Green Valley Rd, Suite 104, Greensboro, NC 27408 Phone: 336-387-2500 | |
Christine Shan-shan Lin, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 706 Green Valley Rd, Suite 104, Greensboro, NC 27408 Phone: 336-387-2500 | |
Dawn Lain Butler, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 706 Green Valley Rd Ste 104, Greensboro, NC 27408 Phone: 336-387-2500 Fax: 844-751-9263 |