RUSSELL KINSHUN FUNG (NPI# 1497118285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497118285 |
Entity Type | Individual |
Full Name | RUSSELL KINSHUN FUNG |
Credential | M.D. |
Practice Address |
653-1 W 8th St Fl 2 Jacksonville FL 32209-6511 |
Practice Telephone | 9042447514 |
Practice Fax Number | 9042445650 |
Mailing Telephone | 9043931004 |
Enumeration Date | 2016-03-30 |
Last Update Date | 2019-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
TRN28106 | FL | Allopathic & Osteopathic Physicians |
Street Address |
653-1 W 8TH ST FL 2 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32209-6511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891113205 | Stacey Michelle Nedrud | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2014-04-02 |
1164927513 | Richard Brandon Baker | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2018-03-28 |
1609379031 | Jennifer Marie Dolan | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2018-03-12 |
1851831747 | Demetri Howerton | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2017-02-27 |
1588104301 | Bang Quach | Dentist | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2017-02-27 |
1598204422 | Rosalie Nocella | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St Fl 2, Jacksonville, FL 32209 | 2017-02-12 |
1144674961 | Zareen Vaghaiwalla | Internal Medicine | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2016-04-18 |
1952764573 | Angela Richter | Internal Medicine | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2016-03-31 |
1750741302 | Andrew James Rockafellow | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2016-02-24 |
1114310943 | Sepideh Sabooree | Dentist | 653-1 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2015-03-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
Find all providers in zip 32209 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013402783 | Thyroid Diabetes Endocrinology and Wellness Inc | Internal Medicine | 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 | 2018-06-26 |
1013461193 | Diabetes Management Partners LLC | Internal Medicine | 4190 Belfort Rd Ste 352, Jacksonville, FL 32216-1407 | 2016-08-07 |
1679910863 | Poonam Kalidas Kapadia | Internal Medicine | 653 W 8th St # L-14, Jacksonville, FL 32209-6511 | 2013-05-28 |
1679896401 | Robert Miller Md Pa | Internal Medicine | 1547 San Marco Blvd, Jacksonville, FL 32207-2905 | 2010-03-08 |
1467683524 | Salma Makhoul-ahwach | Internal Medicine | 3 Shircliff Way Ste 630, Jacksonville, FL 32204-4776 | 2009-08-06 |
1811134216 | Rafael Eligio Gomez Jr. | Internal Medicine | 1222 Molokai Rd, Jacksonville, FL 32216-3276 | 2009-01-07 |
1134328719 | Ramadan Hammoud | Internal Medicine | 9745 Touchton Rd Unit 1705, Jacksonville, FL 32246-9200 | 2007-07-13 |
1255541512 | Eric Charles Puestow | Internal Medicine | 7746 Miller Oaks Dr W, Jacksonville, FL 32217-3512 | 2007-05-23 |
1952387912 | Gunjan Y Gandhi | Internal Medicine | 653 W 8th St, Jacksonville, FL 32209-6511 | 2005-12-21 |
1821071903 | Melissa Anne Morgan | Internal Medicine | 11945 San Jose Blvd Ste 301, Credentialing Department, Jacksonville, FL 32223-1627 | 2005-11-22 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32209 |
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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.