DR. TOR MARTIN LJUNG (NPI# 1043356868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043356868 |
| Entity Type | Individual |
| Full Name | DR. TOR MARTIN LJUNG |
| Credential | MD |
| Practice Address |
6752 Parker Farm Dr # 200 Wilmington NC 28405-3175 |
| Mailing Address |
1202 Medical Center Dr Wilmington NC 28401-7307 |
| Practice Telephone | 9103413300 |
| Practice Fax Number | 9103413321 |
| Mailing Telephone | 9103413300 |
| Mailing Fax Number | 9102518824 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
200000088 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89126PG | 05 |
| Street Address |
6752 PARKER FARM DR # 200 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676611 | Charles Richard Kays | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-10 |
| 1609877836 | Kenneth Samuel White | Surgery | 1404 Commonwealth Dr, Wilmington, NC 28403-1473 | 2005-08-10 |
| 1568463131 | Jeffrey Scott Church | Surgery | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2005-08-09 |
| 1487650867 | Benjamin Cooper | Surgery | 1941 Limestone Rd Ste 101, Wilmington, DE 19808-5413 | 2005-06-22 |
| 1922591320 | Gillespie Plastic & Reconstructive Surgery | Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2018-06-11 |
| 1235195389 | Wilmington Plastic Surgery Specialists, P.a. | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2006-04-25 |
| 1275535072 | Mark Wayne Morgan | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-11 |
| 1598767535 | Dennis Bart Nicks | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813753 | Kds Aesthetics, Pllc | Surgery | 2806b Wooten Blvd., Wilson, NC 27893-8624 | 2019-04-22 |
| 1124681689 | Cami Surgery Center, Pllc | Surgery | 8712 Lindholm Dr Ste 308, Huntersville, NC 28078-1872 | 2019-04-19 |
| 1154777936 | Shuting Zhong | Surgery | 130 Manson Farm Rd # 2100, Chapel Hill, NC 27599-0001 | 2016-05-10 |
| 1205216173 | Henry Neale Sr. | Surgery | 117 Shenandoah Terrace, Montreat, NC 28757 | 2015-06-04 |
| 1689940603 | Asheville Aesthetic Plastic Surgery | Surgery | 108 Yorkshire Street, Suite D, Asheville, NC 28803-2759 | 2012-03-23 |
| 1245428358 | Jeyhan S Wood | Surgery | 7033 Burnett Womack Bldg Cb 7195, Chapel Hill, NC 27599-0001 | 2007-10-15 |
| 1255528477 | Rutherford Hospital, Inc. | Surgery | 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 | 2007-10-02 |
| 1215144670 | David Hardman Harley | Surgery | 13620 Reese Blvd E, Suite 110, Bldg Xii, Huntersville, NC 28078-6417 | 2007-05-16 |
| 1669538971 | Southland Plastic Surgery | Surgery | 501 North Aspen St, Lincolnton, NC 28092-2105 | 2006-12-29 |
| 1396829271 | Michael Zenn | Surgery | 7920 Acc Blvd Ste 110, Raleigh, NC 27617-8744 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
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| 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.