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Deactivated NPI 1295806909 Deactivated / Inactive NPI Male Practitioner

Dr. Kwang-Jae Joh , MD

Surgery • Pompano Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kwang-Jae Joh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 13, 2006
NPI Deactivation Date March 20, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kwang-Jae Joh, MD was a registered Surgery practicing in Pompano Beach, FL. Throughout an active medical career spanning 18 years, Dr. Joh provided care at the practice location at 4301 NORTH FEDERAL HIGHWAY until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

4301 North Federal Highway
Suite 5

Pompano Beach, FL 330648431

Telephone 9547815300
Fax 9547815301

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pompano Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Pompano Beach, FL (2030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME25125

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ciera Stovall , BA

Behavior Analyst

NPI 1861739591

Bachelor of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4301 NORTH FEDERAL HIGHWAY, SUITE 5, POMPANO BEACH, FL 330648431 (Tel: 9547815300)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 50175, LIGHTHOUSE POINT, FL 330740175 (Tel: 9547815300)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KWANG-JAE JOH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #ME25125 in FL)

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Initial NPI Registration & Enumeration November 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295806909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2006
Last Update: July 08, 2007
Deactivation Date: March 20, 2024

Mailing Address

Po Box 50175

Lighthouse Point, FL 330740175

Phone: 9547815300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.