Peter L Kung (NPI# 1225169279, PAC ID# 2567525363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1225169279 |
| PAC ID by PECOS | 2567525363 |
| Professional Enrollment ID | I20090902000387 |
| Full Name | Peter L Kung |
| Organization Legal Name | THE VANCOUVER CLINIC INC PS |
| Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Phone Number | 3608822778 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3173436490 |
| Number of Group Practice Members | 349 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500041 | PEACHEALTH ST JOHN MEDICAL CENTER |
| 381320 | COLUMBIA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 625 9th Ave, Suite 210, Longview, WA 98632-2465 | 3605013400 | LONGVIEW ORTHOPEDIC ASSOCIATES, PLLC |
| 2525 Ne 139th St, Vancouver, WA 98686-2719 | 3608822778 | THE VANCOUVER CLINIC INC PS |
| 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 3608822778 | THE VANCOUVER CLINIC INC PS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | THE VANCOUVER CLINIC INC PS |
| Physicians | 372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonas Brandon Aharoni | Internal Medicine | The Vancouver Clinic Inc Ps | 5515 Pioneer St, Ridgefield, WA 98642-3375 |
| Aaron M Kaplan | Diagnostic Radiology | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Katrina Eileen Moen | Nurse Practitioner | The Vancouver Clinic Inc Ps | 291 C St, Unit 110, Washougal, WA 98671-2168 |
| Allison J Lawrence | Certified Nurse Midwife (cnm) | The Vancouver Clinic Inc Ps | 2005 W Main St, Battle Ground, WA 98604-4311 |
| Ella R Vining | Internal Medicine | The Vancouver Clinic Inc Ps | 7809 Ne Vancouver Plaza Dr, Suite 110, Vancouver, WA 98662-6639 |
| Andrew E Glover | General Surgery | The Vancouver Clinic Inc Ps | 2525 Ne 139th St, Vancouver, WA 98686-2719 |
| Michael Andrew Coppock | Internal Medicine | The Vancouver Clinic Inc Ps | 501 Se 172 Ave, The Vancouver Clinic, Vancouver, WA 98684-9542 |
| Cyril S Dodge | Internal Medicine | The Vancouver Clinic Inc Ps | 700 Ne 87 Ave, The Vancouver Clinic, Vancouver, WA 98664-4896 |
| Mark W Melecki | Physical Therapy | The Vancouver Clinic Inc Ps | 501 Se 172nd Ave, Vancouver, WA 98684-9542 |
| Thomas R Kovaric | Cardiovascular Disease (cardiology) | The Vancouver Clinic Inc Ps | 2525 Ne 139 St, The Vancouver Clinic, Vancouver, WA 98686-1240 |
| Street Address |
700 NE 87TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip | 98664-1913 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron M Kaplan | Diagnostic Radiology | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Jeff S Brent | Sports Medicine | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Louise M Schultz | Internal Medicine | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Wendy A Latta | Physical Therapy | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Joseph D Mathias | Physician Assistant | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Henry Chu | Interventional Cardiology | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Heather Mae Nash | Nurse Practitioner | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Kirstie E Munson | Physical Therapy | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Drew M Shafer | Physician Assistant | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Kye S Park | Rheumatology | The Vancouver Clinic Inc Ps | 700 Ne 87th Ave, Vancouver, WA 98664-1913 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen W Kormanyos | Hospitalist | South Sound Inpatient Physicians Pllc | 400 Nemother Jos Pl, Vancouver, WA 98664 |
| Eric W Vogelzang | Chiropractic | 7317 E Mill Plain Blvd, Vancouver, WA 98664-1300 | |
| Richard T Kubiniec | Obstetrics/gynecology | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Lindsey Campbell | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Shane D Dunaway | Family Medicine | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Jennifer M Goaring | Certified Nurse Midwife (cnm) | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Amanda C Kerber | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Homayoun Akhavan Saraf | Obstetrics/gynecology | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Patricia M Frew | Family Medicine | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Krista F Roscoe | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Find all physicians in zip 98664 | |||
| City | VANCOUVER |
| Zip Code | 98664 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | VANCOUVER + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Peter L Kung.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.