JUNYANG GONG (NPI# 1801021183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801021183 |
| Entity Type | Individual |
| Full Name | JUNYANG GONG |
| Credential | NP |
| Practice Address |
2345 Philadelphia Dr Dayton OH 45406-1816 |
| Mailing Address |
4081 Darby Rd Dayton OH 45431-1116 |
| Practice Telephone | 9372764141 |
| Mailing Telephone | 6467062876 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 019520 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2345 PHILADELPHIA DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45406-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679739163 | Laquisha S Mark | Student in an Organized Health Care Education/Training Program | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2008-08-04 |
| 1497165062 | Dina A. Dakar | Dietitian, Registered | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2014-05-05 |
| 1902241425 | Lara Shahar Ilyas | Family Medicine | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2013-05-10 |
| 1134564743 | Matthew Lyle Nyholm | Family Medicine | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2013-05-09 |
| 1528352143 | Heather Veeder | Student in an Organized Health Care Education/Training Program | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-31 |
| 1861784712 | Joan T Waterworth | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-11 |
| 1265724652 | Janet Elaine Kaiser | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
| 1811289291 | Kelly Sue Hileman | Licensed Practical Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
| 1902198393 | Teresa Lynn Gatzulis | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
| 1770875163 | Pamela Ann Amlin | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
| 1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
| 1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
| 1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
| 1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
| 1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
| 1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
| 1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
| Find all providers in zip 45406 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952871840 | Kelly Michelle Douple | Nurse Practitioner | 5724 Price Hill Pl, Dayton, OH 45459-1428 | 2018-12-04 |
| 1760966287 | Mary Elizabeth Hill | Nurse Practitioner | 300 Forest Ave Ste 100, Dayton, OH 45405-4500 | 2018-09-20 |
| 1508898172 | Jennifer M Tandoc | Nurse Practitioner | 6125 N Main St, Dayton, OH 45415-3110 | 2006-07-06 |
| 1023053071 | Sharon G Anderson | Nurse Practitioner | 455 Chickamauga Dr, 104, Dayton, TN 37321-4286 | 2006-06-16 |
| 1649870486 | Cynthia Lorraine Gray | Nurse Practitioner | 2350 Miami Valley Dr Ste 500, Dayton, OH 45459-4780 | 2020-10-30 |
| 1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
| 1801413307 | Nadia Haller | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2020-06-30 |
| 1205464435 | Taulinah E Knox | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-01 |
| 1225673130 | Vicky L Peck | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-11-14 |
| 1104475243 | Jennifer Lea Burnett | Nurse Practitioner | 1012 S 3rd St, Dayton, WA 99328-1696 | 2019-09-11 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on JUNYANG GONG.
| 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.