KENNETH AUNG-DIN


Address: 3625 University Blvd S, Jacksonville, FL 32216-4207
Phone: 9043996811

KENNETH AUNG-DIN (NPI# 1003912759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003912759
Entity Type Individual
Full Name KENNETH AUNG-DIN
Credential MD
Practice Address 3625 University Blvd S
Jacksonville
FL 32216-4207
Mailing Address Po Box 860554
Orlando
FL 32886-0554
Practice Telephone 9043996811
Practice Fax Number 9043460113
Mailing Telephone 9043463606
Mailing Fax Number 9043460113
Enumeration Date 2006-09-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine ME0051923 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00777807A 05
FL BCBS 10718 01

Office Location

Street Address 3625 UNIVERSITY BLVD S
City JACKSONVILLE
State FL
Zip Code 32216-4207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588664395 Karen Elizabeth Anderson Anesthesiology 3625 University Blvd S, Jacksonville, FL 32216-4207 2005-07-22
1174122071 Deleah Rene Pickler Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2020-10-21
1801401641 Kara N Cordova Nurse Anesthetist, Certified Registered 3625 University Blvd S, Jacksonville, FL 32216-4222 2020-09-09
1174153654 Marina Follick Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2020-01-23
1649818337 Sarah Chapman Farris Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-12-13
1487291837 Lee Willingham Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-12-04
1609411586 Kyle Steven Scott Nurse Anesthetist, Certified Registered 3625 University Blvd S, Jacksonville, FL 32216-4222 2019-11-14
1982246328 Amy Marie Suralis Registered Nurse 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-10-16
1396391991 Sarah Siebrandt Occupational Therapist 3625 University Blvd S, Jacksonville, FL 32216-4222 2019-08-11
1790347979 Leda Hansen Nurse Practitioner 3625 University Blvd S, Jacksonville, FL 32216-4207 2019-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427690353 Emergency Physicians Inc Emergency Medicine 9868 Family Place, Jacksonville, FL 32222 2019-10-11
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1922525229 Dwic of Tampa Bay, Inc Emergency Medicine 11985 Atlantic Boulevard, Jacksonville, FL 32225-2919 2017-08-28
1063945541 Hassan Mohammad Aboudan Emergency Medicine 8455 Stables Rd, Jacksonville, FL 32256-7265 2017-04-11
1639626476 Emergency Physicians Inc Emergency Medicine 11250 Baptist Health Drive, Suite 713, Jacksonville, FL 32218 2016-09-09
1497107957 Frank Rodriguez Emergency Medicine 7615 Hunters Grove Rd, Jacksonville, FL 32256-7210 2016-07-08
1649631391 Emergency Physicians Inc Emergency Medicine 4085 Town Center Pkwy, Jacksonville, FL 32246-8580 2016-03-09
1619387099 John Michael Kiel Emergency Medicine Department of Emergency Medicine, 125 Floor Clinical Ce, 655 West 8th Street, C506, Jacksonville, FL 32209-3220 2014-05-06
1225455306 James Esser Barr Emergency Medicine 653 W 8th St # L15, Jacksonville, FL 32209-6511 2014-03-26
1992122170 Nadia Bakor Emergency Medicine 6477 103rd St, Jacksonville, FL 32210-7129 2014-03-25
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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