MAI T PHUNG (NPI# 1184645020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184645020 |
| Entity Type | Individual |
| Full Name | MAI T PHUNG |
| Credential | D.O. |
| Practice Address |
1910 W Royale Dr Muncie IN 47304-2264 |
| Practice Telephone | 7652891011 |
| Practice Fax Number | 7652893024 |
| Mailing Telephone | 7652891011 |
| Mailing Fax Number | 7652893024 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2010-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02002307A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200348480A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912114216 | Mai Thi Truc Phung | Pediatrics | 83 W Miller St, Orlando, FL 32806-2031 | 2007-05-17 |
| Street Address |
1910 W ROYALE DR |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659358745 | Elpidio M Feliciano Jr. | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2005-12-29 |
| 1316579824 | Global Medical Services, LLC | Clinic/Center | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2020-02-12 |
| 1225450836 | Royale Internal Medicine, LLC | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2014-01-16 |
| 1760813422 | Lana Bucchino LLC | Clinic/Center | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2013-12-06 |
| 1780948646 | Wellcare Medical, LLC | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2012-06-26 |
| 1952663817 | C & I Medical, LLC | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2012-06-15 |
| 1306104435 | Rainmaker Production Services, LLC | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2012-04-26 |
| 1952684805 | Lynsie Yarger | Registered Nurse | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2011-09-27 |
| 1669789640 | Amy Combs | Registered Nurse | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2010-09-11 |
| 1942517925 | Cynthia J Allen | Registered Nurse | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2010-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336597301 | Meridian Health Services Corp | Family Medicine | 110 E Wysor St, Muncie, IN 47305-1724 | 2016-05-31 |
| 1609235142 | Henry County Memorial Hospital | Family Medicine | 3521 W Purdue Ave, Muncie, IN 47304-6358 | 2016-02-12 |
| 1700217189 | Elite Healthcare of Muncie Inc. | Family Medicine | 3417 W Bethel Ave Ste A, Muncie, IN 47304-7504 | 2013-12-10 |
| 1396094629 | Abundant Health Family Medicine | Family Medicine | 1720 S Burlington Drive, Muncie, IN 47302-2771 | 2012-08-31 |
| 1124228010 | Lisa Renee Clay | Family Medicine | 210 N Celia Ave, Muncie, IN 47303 | 2007-07-19 |
| 1659571602 | Valena & Valena PC | Family Medicine | 818 W White River Blvd, Muncie, IN 47303-3868 | 2007-07-18 |
| 1972702744 | Jean Langley Roberts | Family Medicine | 1200 W White River Blvd, Muncie, IN 47303-4988 | 2007-07-12 |
| 1598821266 | Larry Lee Mccallister | Family Medicine | 217 S Cherry St, Muncie, IN 47305-1506 | 2006-12-28 |
| 1871670513 | Paul Phillip Cooley | Family Medicine | 3631 North Morrison Road, Suite 200, Muncie, IN 47304 | 2006-11-01 |
| 1710908389 | Stephen Roger Miller | Family Medicine | 3911 W Clara Ln, Muncie, IN 47304-5412 | 2006-07-21 |
| Find all providers in MUNCIE | ||||
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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.