JAEYEON KWEON MD
NPI 1770476434
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since June 02, 2025
410 W 10TH AVE, COLUMBUS, OH 43210(614) 688-8942 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 25, 2026, Jun 2, 2025 (2 updates tracked since 2025).

About Jaeyeon Kweon Md NPPES

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

JAEYEON KWEON MD (NPI 1770476434) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since June 2025. He maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1770476434
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAEYEON KWEONCredential: MD
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address410 W 10th AveColumbus, OH 43210-1240 · (614) 688-8942
Sole ProprietorYes
Enumeration DateJune 2, 2025
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1770476434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
410 W 10TH AVE, Columbus, OH 43210

Secondary Practice Location 1

Location 11501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 626-0434

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210

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 Jaeyeon Kweon's NPI number?

The NPI number for Jaeyeon Kweon is 1770476434. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Jaeyeon Kweon located?

Jaeyeon Kweon practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 688-8942.

What is Jaeyeon Kweon's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaeyeon Kweon was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.