MEDICARE: DR. YUNG H. HWANG MD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	431036529	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	21316	OTHER	MO	BLUE CROSS BLUE SHIELD
3	21316	OTHER	MO	BCBS

General Provider Information

NPI Number	:	1093772493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUNG H. HWANG MD.

Provider Business Mailing Address
First Line	:	327 E AIRPORT DR
Second Line	:
City	:	CARTHAGE
State	:	MO
Zip	:	64836-3402
Country	:	US
Telephone Number	:	417-237-0604
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 E. KEARNEY
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803
Country	:	US
Telephone Number	:	417-831-0200
Fax Number	:	417-831-0203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	03/15/2026

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