MR. SEOKJAE JOHN BAHNG M.D.
NPI 1548823156
Student in an Organized Health Care Education/Training Program in Sayre, PA

Q: What is Seokjae Bahng's NPI number?

The NPI number for Seokjae Bahng is 1548823156. It was assigned to this individual provider in the NPPES registry on April 18, 2019. The provider is also known as Mr. Seok Jae Bang M.D..

Q: What is Seokjae Bahng's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Seokjae Bahng was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 18, 2019PECOS Enrolled

ONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITAL, SAYRE, PA 18840(570) 887-3381 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Seokjae John Bahng M.d. NPPES

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

MR. SEOKJAE JOHN BAHNG M.D. (NPI 1548823156) is an individual student in an organized health care education/training program in Sayre, Pennsylvania and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548823156

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. SEOKJAE JOHN BAHNGCredential: M.D.

Location AddressONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITALSayre, PA 18840

Mailing Address5970 Quebec St.Vancouver, BRITISH COLUMBIA V5W 2P3

Phone(570) 887-3381

Sole ProprietorNo

Enumeration DateApril 18, 2019

✔ NPI 1548823156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

ONE GUTHRIE SQUARE, GUTHRIE/ROBERT PACKER HOSPITAL, Sayre, PA 18840

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Other Names 1

Former Name (1)Mr. Seok Jae Bang M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Seokjae John Bahng M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 11

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

MISS HURERAH SHAH NAWAZ M.D.