SERENA SHUNG (NPI# 1740634245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740634245 |
| Entity Type | Individual |
| Full Name | SERENA SHUNG |
| Practice Address |
3801 150th Ave Se Bellevue WA 98006-1668 |
| Mailing Address |
Msc 09 5040 1 University of New Mexico Albuquerque NM 87131-0001 |
| Practice Telephone | 4254607140 |
| Mailing Telephone | 5052726607 |
| Mailing Fax Number | 5052728045 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60929348 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Msc 09 5040, 1 University of New Mexico, Albuquerque, NM 871310001 | 5052726607 | 5052728045 |
| Street Address |
3801 150TH AVE SE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982039475 | Danae L Shelley | Dietitian, Registered | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2013-09-04 |
| 1366042616 | Lia Rose Tamminen | Social Worker | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2020-10-27 |
| 1962047811 | Ann M Griffin | Nurse Practitioner | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-11-14 |
| 1306488226 | Sea - Mar Community Health Center | Clinic/Center | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-10-11 |
| 1154988681 | Sea-mar Community Health Center | Dietitian, Registered | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-05-21 |
| 1699238543 | Elizabeth A Oaksmith | Counselor | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-04-08 |
| 1588177992 | Sea-mar Community Health Center | Clinic/Center | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2017-11-07 |
| 1417312828 | Sea-mar Community Health Center | Pharmacy | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2015-12-30 |
| 1508239633 | Somaia Hedayat | Dental Hygienist | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2015-11-11 |
| 1154792562 | Sea-mar Community Health Center | Dentist | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563089 | Highland Middle School Health Center | Family Medicine | 11650 Se 60th St, Bellevue, WA 98006-3702 | 2019-08-14 |
| 1497136121 | Shaista Zaman | Family Medicine | 1600 116th Ave Ne Ste 102, Bellevue, WA 98004-3099 | 2015-06-18 |
| 1457762296 | Nafiseh Sadat Haghgoo | Family Medicine | 400-108th Aven Ne, Bellevue, WA 98004 | 2014-05-14 |
| 1154768802 | Sowmya Amin | Family Medicine | 619 156th Ave Se, Bellevue, WA 98007 | 2013-06-03 |
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1144564097 | Fred W Reebs | Family Medicine | 102 Cascade Ky, Bellevue, WA 98006-1004 | 2012-11-15 |
| 1225387335 | Accelecare Wound Professionals of South Carolina, PC | Family Medicine | 10900 Ne 4th Street Suite 1900, Bellevue, WA 98004 | 2012-09-05 |
| 1003180308 | Steven Yee | Family Medicine | 14505 Bel Red Rd, 100, Bellevue, WA 98007-3936 | 2012-03-05 |
| 1265716799 | Healthmax Incorporated | Family Medicine | 320 106th Ave Ne, Suite A, Bellevue, WA 98004-5791 | 2011-10-03 |
| 1548561954 | Martin E. Hanson | Family Medicine | 9011 Lake Washington Blvd Ne, Bellevue, WA 98004-4826 | 2010-11-16 |
| Find all providers in BELLEVUE | ||||
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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.