DOUGLAS AHN, M.D., P.L.L.C.
NPI 1104018191
Family Medicine in Utica, NY

Q: What is Douglas Ahn, M.D., P.L.L.C.'s NPI number?

The NPI number for Douglas Ahn, M.D., P.L.L.C. is 1104018191. It was assigned to this organization in the NPPES registry on August 14, 2007.

Q: What is Douglas Ahn, M.D., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 14, 2007

122 BUSINESS PARK DR, SUITE 1, UTICA, NY 13502(315) 738-7883(315) 738-0347 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Douglas Ahn, M.d., P.l.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS AHN, M.D., P.L.L.C. (NPI 1104018191) is a healthcare organization registered as a family medicine in Utica, New York and active in the NPI registry since August 2007. The organization lists Douglas Ahn, President, as its authorized official.

NPPES Registry Identity

NPI1104018191

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDOUGLAS AHN, M.D., P.L.L.C.

Location Address122 BUSINESS PARK DR, SUITE 1Utica, NY 13502-6321

Mailing Address122 Business Park Dr, Suite 1Utica, NY 13502-6321 · (315) 738-7883 · Fax (315) 738-0347

Phone(315) 738-7883

Fax(315) 738-0347

Organization SubpartNo

Authorized OfficialDouglas AhnPresident · (315) 738-7883

Enumeration DateAugust 14, 2007

Last NPPES UpdateSeptember 26, 2012

✔ NPI 1104018191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 229831

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

122 BUSINESS PARK DR, Utica, NY 13502

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Other Identifiers 3

Medicare PINRA1301NY

Medicaid02614184NY

Medicare UPINI03296NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDY LOPEZ-WILLIAMS PHD

Psychologist (Clinical)

122 BUSINESS PARK DR, SUITE 1
UTICA, NY 13502

Oneida County (315) 732-3431

CARRIE ELIZABETH CORBY LMSW

Counselor

122 BUSINESS PARK DR, SUITE 1
UTICA, NY 13502

Oneida County (315) 732-3431

BRIANNA BLANCOVICH BCBA

Behavior Analyst

122 BUSINESS PARK DR
UTICA, NY 13502

Oneida County (315) 732-3431

ASHLEY RITTER

Social Worker

122 BUSINESS PARK DR, SUITE 1
UTICA, NY 13502

Oneida County (315) 732-3431

JILLIAN MARY CHESEBRO

Behavior Technician

122 BUSINESS PARK DR
UTICA, NY 13502

Oneida County (315) 732-3431

MRS. COURTNEY ANN CHEYNE LCSW

Social Worker (Clinical)

122 BUSINESS PARK DR, SUITE 1
UTICA, NY 13502

Oneida County (315) 732-3431

ADHD & AUTISM PSYCHOLOGICAL SERVICES AND ADVOCACY, PLLC

Psychologist (Clinical)

122 BUSINESS PARK DR, SUITE 1
UTICA, NY 13502

Oneida County (315) 732-3431

VALERIE ELLIS DC

Chiropractor

122 BUSINESS PARK DR
UTICA, NY 13502

Oneida County (315) 732-3007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Ahn, M.D., P.L.L.C.'s NPI number?

The NPI number for Douglas Ahn, M.D., P.L.L.C. is 1104018191. It was assigned to this organization in the NPPES registry on August 14, 2007.

Where is Douglas Ahn, M.D., P.L.L.C. located?

Douglas Ahn, M.D., P.L.L.C. is located at 122 Business Park Dr Suite 1, Utica, NY 13502. The listed phone number is (315) 738-7883.

What is Douglas Ahn, M.D., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Douglas Ahn, M.D., P.L.L.C. was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.