SOUTHEAST MO ENT CONSULTANTS LTD (NPI# 1932154390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932154390 |
Entity Type | Organization |
Organization Name | SOUTHEAST MO ENT CONSULTANTS LTD |
Other Organization Name | DR CHRISTOPHER JUNG |
Practice Address |
150 S Mount Auburn Rd Ste. 432 Cape Girardeau MO 63703-4910 |
Practice Telephone | 5733347173 |
Practice Fax Number | 5733347185 |
Mailing Telephone | 5733347173 |
Mailing Fax Number | 5733347185 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. CHRISTOPHER H JUNG SR. (OWNER-CEO) |
Authorized Official Telephone | 5733347173 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
32408 | MO | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
DR CHRISTOPHER JUNG | Other Name - Individual/Organization |
Street Address |
150 S MOUNT AUBURN RD STE. 432 |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63703-4910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467457960 | Richard Ernest Kinsey | Nurse Practitioner | 150 S Mount Auburn Rd, Suite 418, Cape Girardeau, MO 63703-4911 | 2005-06-20 |
1053663641 | Sarah Eloise Oliver | Physician Assistant | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2012-10-08 |
1588912620 | Karen E Page | Nurse Practitioner | 150 S Mount Auburn Rd, Suite 318, Cape Girardeau, MO 63703-4911 | 2012-08-21 |
1386932911 | Corrie Mae Dudley | Nurse Practitioner | 150 S Mount Auburn Rd, Suite 318, Cape Girardeau, MO 63703-4911 | 2011-07-18 |
1992092639 | Yawen Jiang | Audiologist | 150 S Mount Auburn Rd, Ste 420, Cape Girardeau, MO 63703-4911 | 2011-07-01 |
1003063611 | Stephanie Michelle Byrd | Audiologist | 150 S Mount Auburn Rd, Suite 420, Cape Girardeau, MO 63703-4911 | 2008-08-26 |
1164696746 | Cape Girardeau Audiology | Audiologist | 150 S Mount Auburn Rd, Suite 420, Cape Girardeau, MO 63703-4911 | 2008-04-15 |
1306017769 | Mt. Auburn Medical Group, LLC | Family Medicine | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2008-03-13 |
1063699833 | Kaywan Dinyar Gamadia | Neurological Surgery | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2008-01-23 |
1013100346 | Jessica H Lemmons | Obstetrics & Gynecology | 150 S Mount Auburn Rd, Ste 318, Cape Girardeau, MO 63703-4911 | 2007-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
Find all providers in zip 63703 |
Taxonomy Code | 207YX0602X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngic Allergy |
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578809687 | Midwest Medical Services, P.C. | Otolaryngology | 1324 Clarkson Clayton Ctr, #301, Ellisville, MO 63011-2145 | 2012-12-17 |
1003336819 | Hodag Medical Services, LLC | Otolaryngology | 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 | 2017-06-22 |
1396861498 | Erich Mertensmeyer | Otolaryngology | 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 | 2007-03-21 |
1588723795 | Anthony F Porto Jr. | Otolaryngology | 1010 Carondelet, St # 121, Kansas City, MO 64114 | 2006-12-06 |
1265511687 | Ear,nose,and Throat Plastic Surgery of Warrensburg, P.C. | Otolaryngology | 706 N Burkarth Rd, Warrensburg, MO 64093-9303 | 2006-11-05 |
City | CAPE GIRARDEAU |
Zip Code | 63703 |
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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.