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MS. RAEWON KWON M.D.
NPI 1558058925
Student in an Organized Health Care Education/Training Program in Harrisburg, PA

Active since April 18, 2023PECOS Enrolled
205 S. FRONT STREET, SUITE 3C, HARRISBURG, PA 17104(717) 231-8532 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Raewon Kwon M.d. NPPES

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

MS. RAEWON KWON M.D. (NPI 1558058925) is an individual student in an organized health care education/training program in Harrisburg, Pennsylvania and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558058925
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. RAEWON KWONCredential: M.D.
Location Address205 S. FRONT STREET, SUITE 3CHarrisburg, PA 17104
Mailing Address3600 Forbes Avenue, Forbes Tower-plaza Level Suite 140Pittsburgh, PA 15213
Phone(717) 231-8532
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateAugust 30, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1558058925 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.
205 S. FRONT STREET, Harrisburg, PA 17104
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Other Names 1

Former Name (1)Leeseul Kwon

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Raewon Kwon 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.

Other Providers at the Same Location NPPES 18

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

SHANNON HELEN MARIE TOWLE M.D.
Student in an Organized Health Care Education/Training Program
205 S. FRONT STREET, BRADY 3 SUITE 3A
HARRISBURG, PA 17104
Dauphin County (717) 231-8722
FERAS AL MOUSSALLY MD
Internal Medicine
205 S. FRONT STREET
HARRISBURG, PA 17104
Dauphin County (717) 657-7533
MR. JOSEPH HOLLAND JESSEE M.D.
Student in an Organized Health Care Education/Training Program
205 S. FRONT STREET
HARRISBURG, PA 17104
Dauphin County (717) 231-8722
DR. MEGAN EILEEN BOYER DO
Student in an Organized Health Care Education/Training Program
205 S. FRONT STREET, BRADY HALL, 908
HARRISBURG, PA 17104
Dauphin County (717) 231-8494
MISS HALIMAT OMOBOLANLE LAWAL M.D
Internal Medicine
205 S. FRONT STREET, SUITE 3C
HARRISBURG, PA 17104
Dauphin County (717) 231-8532
ANUSHA PILLA MD
Student in an Organized Health Care Education/Training Program
205 S. FRONT STREET, SUITE 3C
HARRISBURG, PA 17104
Dauphin County (717) 782-3131
DR. MOHIT SINGH KOCHAR DO
Emergency Medicine
205 S. FRONT STREET, BRADY 3 SUITE 3A
HARRISBURG, PA 17104
Dauphin County (717) 231-8722
ELIZABETH ANNE REINER D.O.
Student in an Organized Health Care Education/Training Program
205 S. FRONT STREET, BRADY HALL - 908
HARRISBURG, PA 17104
Dauphin County (717) 231-8494

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 Raewon Kwon's NPI number?

The NPI number for Raewon Kwon is 1558058925. It was assigned to this individual provider in the NPPES registry on April 18, 2023. The provider is also known as Leeseul Kwon.

Where is Raewon Kwon located?

Raewon Kwon practices at 205 S. Front Street Suite 3C, Harrisburg, PA 17104. The listed phone number is (717) 231-8532.

What is Raewon Kwon's specialty?

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

Is Raewon Kwon enrolled in Medicare?

Yes. Raewon Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raewon Kwon was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.