CHANGGI JUNG (NPI# 1275054082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275054082 |
Entity Type | Individual |
Full Name | CHANGGI JUNG |
Practice Address |
1500 Fifth Ave Mckeesport PA 15132-2422 |
Mailing Address |
1500 Fifth Avenue,upmc Mckeesport Internal Medicine Mckeesport PA 15132 |
Practice Telephone | 4126642782 |
Practice Fax Number | 4126642784 |
Mailing Telephone | 4126642782 |
Mailing Fax Number | 4126642784 |
Enumeration Date | 2017-06-30 |
Last Update Date | 2017-06-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | MT212475 | PA | Student, Health Care |
Street Address |
1500 FIFTH AVE |
City | MCKEESPORT |
State | PA |
Zip Code | 15132-2422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285842641 | Regina Marie Ferri | Specialist | 1500 Fifth Ave, Mckeesport, PA 15132-2422 | 2007-05-18 |
1578021234 | Audelia Stoutamire | Nurse Practitioner | 1500 Fifth Ave, Mckeesport, PA 15132-2422 | 2019-03-12 |
1437616828 | Rachel Kim | Physical Therapist | 1500 Fifth Ave, Mckeesport, PA 15132-2422 | 2019-02-21 |
1033620745 | Rebecca Jill Morcheid | Pharmacist | 1500 Fifth Ave, Mckeesport, PA 15132-2422 | 2017-10-20 |
1265941801 | Ziad Simon Fawaz | Radiology | 1500 Fifth Ave, Mckeesport, PA 15132-2422 | 2017-09-27 |
1912428764 | Aamir Khan | Internal Medicine | 1500 Fifth Ave, Mckeesport, PA 15132-2422 | 2017-07-02 |
1437698115 | Julie Klabnik | Pharmacist | 1500 Fifth Ave, Mckeesport, PA 15132-2422 | 2017-02-15 |
1316499114 | Diana Lutz | Nurse Anesthetist, Certified Registered | 1500 Fifth Ave, Mckeesport, PA 15132-2422 | 2016-10-27 |
1225581002 | Don Mathew | Internal Medicine | 1500 Fifth Ave, Upmc Mckeesport Internal Medicine Center, Mckeesport, PA 15132-2422 | 2016-07-28 |
1225481088 | Taimoor Adnan | Internal Medicine | 1500 Fifth Ave, 1st Floor Kelly Building, Mckeesport, PA 15132-2422 | 2016-07-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508484163 | Hetal Ramesh Boricha | Student in an Organized Health Care Education/Training Program | 1521 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-07-10 |
1821610130 | Tissa Bijoy George | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2020-05-08 |
1629699103 | Nassar Mukhtar | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Suite Mckeesport Internal Medicine, Mckeesport, PA 15132 | 2020-05-06 |
1851911432 | Waqas Ali | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-04-23 |
1932738739 | Oyinkansola Morenike Ogundimu | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latternan Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-03 |
1700415817 | Stephanie C Otuwa | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latterman Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-02 |
1417517855 | Anna Jayoung ' Lee | Student in an Organized Health Care Education/Training Program | 2347 5th Ave., Mckeesport, PA 15132 | 2019-06-18 |
1447819198 | Tahreem Ahmad | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Mckeesport Internal Medicine, Suite 1, Mckeesport, PA 15132 | 2019-06-06 |
1174181614 | Malik Ahmad | Student in an Organized Health Care Education/Training Program | Mckeesport Hospital Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-30 |
1184281198 | Tariq Hassan | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-24 |
Find all providers in zip 15132 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508484163 | Hetal Ramesh Boricha | Student in an Organized Health Care Education/Training Program | 1521 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-07-10 |
1821610130 | Tissa Bijoy George | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2020-05-08 |
1629699103 | Nassar Mukhtar | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Suite Mckeesport Internal Medicine, Mckeesport, PA 15132 | 2020-05-06 |
1851911432 | Waqas Ali | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-04-23 |
1932738739 | Oyinkansola Morenike Ogundimu | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latternan Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-03 |
1700415817 | Stephanie C Otuwa | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latterman Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-02 |
1417517855 | Anna Jayoung ' Lee | Student in an Organized Health Care Education/Training Program | 2347 5th Ave., Mckeesport, PA 15132 | 2019-06-18 |
1447819198 | Tahreem Ahmad | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Mckeesport Internal Medicine, Suite 1, Mckeesport, PA 15132 | 2019-06-06 |
1174181614 | Malik Ahmad | Student in an Organized Health Care Education/Training Program | Mckeesport Hospital Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-30 |
1184281198 | Tariq Hassan | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-24 |
Find all providers in MCKEESPORT |
City | MCKEESPORT |
Zip Code | 15132 |
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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.