DR. JUNG-WOO MA (NPI# 1073771515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073771515 |
Entity Type | Individual |
Full Name | DR. JUNG-WOO MA |
Credential | M.D. |
Practice Address |
2374 Village Common Dr Suite 100 Erie PA 16506-7201 |
Practice Telephone | 8148337246 |
Practice Fax Number | 8148331147 |
Mailing Telephone | 8148337246 |
Mailing Fax Number | 8148331147 |
Enumeration Date | 2008-05-31 |
Last Update Date | 2020-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD447375 | PA | Allopathic & Osteopathic Physicians |
Street Address |
2374 VILLAGE COMMON DR SUITE 100 |
City | ERIE |
State | PA |
Zip Code | 16506-7201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740268812 | William Paul Diefenbach | Neurological Surgery | 2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 | 2006-01-09 |
1326298423 | Greater Erie Surgery Center, LLC | Clinic/Center | 2374 Village Common Dr, Suite 200, Erie, PA 16506-7201 | 2008-09-25 |
1215106323 | Tri-state Pain Institute LLC | Physical Medicine & Rehabilitation | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 | 2008-02-22 |
1598707838 | Physical Therapy Services of Erie, LLC | Specialist | 2374 Village Common Dr, Suite 101, Erie, PA 16506-7201 | 2006-06-12 |
1245271568 | Joseph Martin Thomas | Anesthesiology | 2374 Village Common Dr, Erie, PA 16506-7201 | 2006-06-09 |
1043250764 | Glenn Daniel Labrozzi | Physical Therapist | 2374 Village Common Dr, Suite 101, Erie, PA 16506-7201 | 2006-06-08 |
1114982543 | Mary K Benedict | Physical Therapist | 2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
Find all providers in zip 16506 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104465681 | Spine Center of Pa LLC | Physical Medicine & Rehabilitation | 2374 Village Common Dr Ste 100, Erie, PA 16506-7201 | 2019-12-31 |
1215106323 | Tri-state Pain Institute LLC | Physical Medicine & Rehabilitation | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 | 2008-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902219702 | Kyle Matthew Weiss | Physical Medicine & Rehabilitation | 501 Cetronia Rd Ste 125, Allentown, PA 18104-9569 | 2014-06-09 |
1558771089 | Christian Boris Acharte | Physical Medicine & Rehabilitation | 700 Horizon Circle Ste 206, Chalfont, PA 18914-3967 | 2014-05-06 |
1649618349 | David Stephen Mills | Physical Medicine & Rehabilitation | 8775 Norwin Ave Ste 108, North Huntingdon, PA 15642 | 2013-06-05 |
1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
1710243787 | Alcinto Steven Guirand | Physical Medicine & Rehabilitation | 1450 Scalp Ave Ste 2100, Johnstown, PA 15904-3374 | 2012-04-04 |
1578848651 | Performance Spine and Sports Medicine of Newtown, LLC | Physical Medicine & Rehabilitation | 828 Newtown Yardley Road, A, Newtown, PA 18940 | 2011-10-20 |
1588974588 | Greater Philadelphia Pain Management Center PC | Physical Medicine & Rehabilitation | 104 Bailey Dr, North Wales, PA 19454-4526 | 2010-10-12 |
1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
1205071297 | Bethia A. Cawley | Physical Medicine & Rehabilitation | 2804 Southampton Rd, Philadelphia, PA 19154-1207 | 2008-12-05 |
1891953188 | Paris Hughes | Physical Medicine & Rehabilitation | 2447 N 54th St, Philadelphia, PA 19131-2423 | 2008-05-23 |
Find all providers with the same taxonomy |
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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.