DR. BONG JUNG (NPI# 1619953197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619953197 |
| Entity Type | Individual |
| Full Name | DR. BONG JUNG |
| Credential | MD |
| Practice Address |
4705 Towne Centre Rd Suite 102 Saginaw MI 48604-2818 |
| Practice Telephone | 9897914718 |
| Practice Fax Number | 9897914882 |
| Mailing Telephone | 9897914718 |
| Mailing Fax Number | 9897914882 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
BJ040138 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GREAT LAKES HEALTH PLAN | 104020 | 01 | |
| MI | HEALTH PLUS | 1307309121 | 01 |
| TRAVELERS MEDICARE | 130026263 | 01 | |
| BLUE CROSS | 0730194 | 01 | |
| BLUE CARE NETWORK | 1307309121 | 01 | |
| MI | 1748983 | 05 |
| Street Address |
4705 TOWNE CENTRE RD SUITE 102 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737229 | William David Macinnes | Clinical Neuropsychologist | 4705 Towne Centre Rd, Ste 304, Saginaw, MI 48604-2821 | 2005-08-10 |
| 1902283955 | Zubeda S Khan Md Pllc | Family Medicine | 4705 Towne Centre Rd, Suite 204, Saginaw, MI 48604-2818 | 2015-04-29 |
| 1295123586 | Saginaw Horizon Physical Therapy and Rehabilitation, Pllc | Clinic/Center | 4705 Towne Centre Rd, Suite 101, Saginaw, MI 48604-2818 | 2015-01-08 |
| 1649608993 | Rama C Mulpuri Md Pllc | Internal Medicine | 4705 Towne Centre Rd, 203, Saginaw, MI 48604-2818 | 2013-10-24 |
| 1417380007 | Shannon Froese | Psychologist | 4705 Towne Centre Rd, Medical Arts I, Suite 304, Saginaw, MI 48604-2818 | 2013-08-19 |
| 1053682633 | Srikanth Peachera | Physical Therapist | 4705 Towne Centre Rd, Ste 101, Saginaw, MI 48604 | 2012-01-13 |
| 1265613830 | Rama Cherukuri Mulpuri Md | Internal Medicine | 4705 Towne Centre Rd, Suite 203, Saginaw, MI 48604-2819 | 2007-11-23 |
| 1841409596 | Prathima Peachera | Physical Therapist | 4705 Towne Centre Rd, Ste 101, Saginaw, MI 48604 | 2007-05-21 |
| 1760515803 | Sanjeev Prakash | Internal Medicine | 4705 Towne Centre Rd, Ste 303, Saginaw, MI 48604-2818 | 2007-03-14 |
| 1740330414 | Nikolai Kinachtchouk,m.d. & Lioudmila Kinachtchouk,m.d. P.l.c. | Internal Medicine | 4705 Towne Centre Rd, Ste 102, Saginaw, MI 48604-2818 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1144590290 | Hospital Psychiarty Pllc | Psychiatry & Neurology | 3353 Silverwood Dr, Saginaw, MI 48603-2180 | 2012-01-06 |
| 1447234075 | Joel Beltran | Psychiatry & Neurology | 800 Cooper, Suite 11, Saginaw, MI 48602 | 2005-12-06 |
| 1326035650 | Faith Abbott | Psychiatry & Neurology | 4677 Towne Centre Rd Ste 301, Saginaw, MI 48604-2848 | 2005-10-03 |
| 1366063729 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-27 |
| 1063955136 | Covenant Medical Center, Inc | Psychiatry & Neurology | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2016-11-22 |
| 1447562236 | David Donald Gill Jr. | Psychiatry & Neurology | 800 Cooper Ave, Suite 11, Saginaw, MI 48602-5394 | 2010-07-08 |
| 1225278740 | Saginaw Valley Neurology Pllc | Psychiatry & Neurology | 4677 Towne Centre Rd, Suite 303, Saginaw, MI 48604-2846 | 2009-02-24 |
| 1568630952 | Jeffrey R Levin Md PC | Psychiatry & Neurology | 4705 Towne Ctr, Ste 302, Saginaw, MI 48604-2818 | 2008-02-19 |
| 1003004086 | Michigan Advanced Neurology Center, Pllc | Psychiatry & Neurology | 4705 Towne Ctr, Ste. 201, Saginaw, MI 48604-2818 | 2007-10-04 |
| Find all providers in SAGINAW | ||||
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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.