DR. RANDY JOHN JUNG (NPI# 1205917176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205917176 |
| Entity Type | Individual |
| Full Name | DR. RANDY JOHN JUNG |
| Credential | M.D. |
| Practice Address |
301 W Lincoln St Suite 106 Belleville IL 62220-1901 |
| Mailing Address |
Po Box 354 Suite 106 Belleville IL 62222-0354 |
| Practice Telephone | 6182351582 |
| Practice Fax Number | 6182352473 |
| Mailing Telephone | 6182351582 |
| Mailing Fax Number | 6182352473 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036085990 | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
036085990 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085990 | 05 |
| Street Address |
301 W LINCOLN ST SUITE 106 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427024926 | Geofry D. Manzo | Specialist/Technologist | 301 W Lincoln St, Suite 210, Belleville, IL 62220-1901 | 2006-02-24 |
| 1053858589 | Krystal Gilb | Nurse Practitioner | 301 W Lincoln St, Suite 201, Belleville, IL 62220-1901 | 2017-01-23 |
| 1851728216 | Desirae Renee Welby | Nurse Practitioner | 301 W Lincoln St, Ste 101, Belleville, IL 62220-1901 | 2013-10-01 |
| 1942492475 | Charles Smittkamp | Radiology | 301 W Lincoln St, Belleville, IL 62220-1901 | 2007-08-17 |
| 1679789481 | St. Elizabeth's Hospital | Preventive Medicine | 301 W Lincoln St, Suite 100, Belleville, IL 62220-1901 | 2007-05-16 |
| 1760563688 | Prairie Psychiatry, Sc | Psychiatry & Neurology | 301 W Lincoln St, Suite 106, Belleville, IL 62220-1901 | 2006-10-18 |
| 1194739136 | Paul Martin Biegler | Dentist | 301 W Lincoln St, Suite 54, Belleville, IL 62220-1901 | 2006-07-27 |
| 1033132030 | St. Elizabeth Hospital | Physical Medicine & Rehabilitation | 301 W Lincoln St, Suite 210, Belleville, IL 62220-1901 | 2006-07-25 |
| 1962470989 | Elizabeth J Caschetta | Specialist/Technologist | 301 W Lincoln St, Suite 210, Belleville, IL 62220-1901 | 2006-03-08 |
| 1700885944 | Dennis J Stanczyk | Urology | 301 W Lincoln St, #57, Belleville, IL 62220-1901 | 2005-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
| 1619409075 | Crystal Stone Ltd | Psychiatry & Neurology | 423 N High St, Belleville, IL 62220-1214 | 2017-04-03 |
| 1962605600 | James Harvey Dawson Jr. | Psychiatry & Neurology | 42900 E Huron River Dr, Belleville, MI 48111-2882 | 2007-06-08 |
| 1154302115 | Jacqueline S. Aregood | Psychiatry & Neurology | 7210 W Main St, Suite 204, Belleville, IL 62223-3038 | 2005-11-08 |
| 1730478991 | Michael Barness | Psychiatry & Neurology | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2011-03-28 |
| 1316251788 | Msa Alliance | Psychiatry & Neurology | 4600 Memorial Dr, Ste 325, Belleville, IL 62226-5368 | 2010-07-28 |
| 1689991291 | Psychiatric Services of Southern Illinois, LLC | Psychiatry & Neurology | 2900 Frank Scott Pkwy W, Suite 990, Belleville, IL 62223-5000 | 2010-04-23 |
| 1174758452 | Illinois Associates In Psychiatry PC | Psychiatry & Neurology | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2009-05-15 |
| 1255457263 | Anna Voeller | Psychiatry & Neurology | 211 S 3rd St, Belleville, IL 62220-1915 | 2007-03-21 |
| 1336205020 | Rahella Ahmad | Psychiatry & Neurology | 1 Clara Maass Dr, Belleville, NJ 07109 | 2006-12-28 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.