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Export Provider Record NPI 1295779148
Pyung SuhM.D.
Active
NPI Number1295779148
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1295779148
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-06-15
Last Updated2014-11-18
Mailing Address401 E Main St
Johnson City, TN 37601-4877
United States
Phone: (423) 929-2584 | Fax: (423) 722-2060
📍 View Map
Primary Practice Address401 E Main St
Johnson City, TN 37601-4877
United States
Phone: (423) 929-2584 | Fax: (423) 722-2060
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineTNMD26945
Export Provider Record NPI 1295779148
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About NPI 1295779148

Pyung Suh M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1295779148. The primary specialty listed is Family Medicine. The provider is located in Johnson City, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1295779148?

NPI 1295779148 belongs to Pyung Suh M.D., a Family Medicine in Johnson City, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1295779148 active?

The current status of NPI 1295779148 in the NPPES registry is Active. The record was last updated on 2014-11-18.

What specialty is NPI 1295779148?

NPI 1295779148 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1295779148?

You can verify NPI 1295779148 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1295779148?

The primary practice address on file for NPI 1295779148 is 401 E Main St, Johnson City, TN 37601-4877. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1295779148 issued?

NPI 1295779148 was first issued (enumerated) on 2006-06-15. The NPPES record was last updated on 2014-11-18.

Practice Location Map

Pyung Suh is located at 401 E Main St, Johnson City, TN. Use the map below to find directions or verify the practice location.

📍 401 E Main St, Johnson City, TN 37601-4877  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Pyung Suh. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1295779148. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family MedicineMD26945TN
Data Verified from CMS NPPES Last synced: 2026-08-04 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162