DR. JIA YING JUNG (NPI# 1255472106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255472106 |
| Entity Type | Individual |
| Full Name | DR. JIA YING JUNG |
| Credential | MD |
| Practice Address |
1200 E Michigan Ave Suite 400 Lansing MI 48912-1800 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5173645200 |
| Practice Fax Number | 5173645201 |
| Mailing Telephone | 5173646253 |
| Mailing Fax Number | 5173646208 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4301031804 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | INDIVIDUAL BCBS PIN NUMBE | 3303311221 | 01 |
| Street Address |
1200 E MICHIGAN AVE SUITE 400 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202494 | Shirley R Courey | Nurse Practitioner | 1200 E Michigan Ave, Suite 500, Lansing, MI 48912-1800 | 2005-08-15 |
| 1205444866 | Anthony Griffin | Nurse Practitioner | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2020-07-20 |
| 1255967725 | Rachel Gibney | Registered Nurse | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2020-03-17 |
| 1104398684 | Emma Skye Sanger | Speech-Language Pathologist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-12-21 |
| 1548732175 | Madalina Ioana Hill | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-12-20 |
| 1376010462 | Taryn Noelle Edsall | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-10-27 |
| 1962996470 | Danielle Mugerian | Student in an Organized Health Care Education/Training Program | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-06-18 |
| 1669960605 | Stephen Sudekum | Student in an Organized Health Care Education/Training Program | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-04-25 |
| 1275039547 | Angela Chapman | Occupational Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-04-04 |
| 1689176984 | Laura Barrons | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521025 | Alonso Collar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 405 W Greenlawn Ave, Ste 305, Lansing, MI 48910-2898 | 2005-07-13 |
| 1770125130 | Carmen G Mcandrew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-10-16 |
| 1124221478 | Mclaren Greater Lansing | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 840 E Mount Hope Ave, Suite 203, Lansing, MI 48910 | 2007-06-06 |
| 1912004458 | Divyakant B Gandhi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 405 W Greenlawn Ave, Suite 305, Lansing, MI 48910-2898 | 2006-09-19 |
| 1194828251 | Joseph V Cotroneo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 405 W Greenlawn Ave, Suite 305, Lansing, MI 48910-2898 | 2006-09-06 |
| 1033162326 | Edward W. Sparrow Hospital Association | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 E Michigan Ave, Suite 775, Lansing, MI 48912-1800 | 2006-05-18 |
| 1437157229 | Gary L Roth | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 405 W Greenlawn Ave, Suite 305, Lansing, MI 48910-2898 | 2005-07-14 |
| 1124026075 | Andrew M Duda | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 405 W Greenlawn Ave, Ste 305, Lansing, MI 48910-2898 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710479191 | United Surgical Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2150 Association Dr, Okemos, MI 48864-4909 | 2018-06-01 |
| 1841719531 | Liberty Cardiolvascular Group Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5250 Auto Club Dr Ste 300l, Dearborn, MI 48126-2619 | 2017-09-13 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1871982249 | Michigan Heart Lung and Vein Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2757 Leonard Ne, Ste 200, Grand Rapids, MI 49525-5807 | 2015-01-22 |
| 1154767382 | Michigan Thoracic Institute, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6640 Kings Ct, West Bloomfield, MI 48322-2779 | 2013-05-15 |
| 1679815898 | Hanna Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne Rm 8830, Grand Rapids, MI 49503 | 2013-03-26 |
| 1760730469 | Hurley Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 S. Linden Road, Suite 700, Flint, MI 48532-4069 | 2012-08-28 |
| 1245588326 | Bakri Kaakeh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4701 Towne Centre Rd Ste 301, Saginaw, MI 48604-2800 | 2012-08-21 |
| 1447521554 | Eduardo Arciniegas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3236 Interlaken St, West Bloomfield, MI 48323-1824 | 2012-01-20 |
| 1629358650 | Steven S. Demos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3739 Highgate Rd, Norton Shores, MI 49441-5017 | 2011-08-22 |
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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.