MARY J JUNG (NPI# 1033172614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033172614 |
| Entity Type | Individual |
| Full Name | MARY J JUNG |
| Credential | ARNP |
| Practice Address |
3300 Nw Expressway Oklahoma City OK 73112-4418 |
| Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4059493393 |
| Practice Fax Number | 4059455493 |
| Mailing Telephone | 4059493393 |
| Mailing Fax Number | 4059455493 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
R0048957 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821032871 | Mary S Jung | Dermatology | 1506 E Chapman Ave, Orange, CA 92866-2231 | 2006-06-16 |
| 1326645656 | Mary Jung | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2020-10-09 |
| 1184678443 | Mary Jung | Emergency Medicine | 934 Center St, Elgin, IL 60120-2125 | 2006-05-20 |
| Street Address |
3300 NW EXPRESSWAY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567848 | Gregory W Dinwiddie | Physician Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2005-06-02 |
| 1760083554 | Cristin Michelle Fong | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-11-06 |
| 1578160487 | Jennifer Bauman | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-10-04 |
| 1013525062 | Siera Alexis Freeman | Physical Therapist | 3300 Nw Expressway, Oklahoma City, OK 73112 | 2020-07-15 |
| 1447878152 | Sabrina Smith | Registered Nurse | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-07-09 |
| 1881219756 | Paul Rakowski | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-06-16 |
| 1902429707 | Alex D Dumontier | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-05-27 |
| 1417577305 | Oklahoma Emergency Physicians LLC | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-21 |
| 1871113761 | Oklahoma Hospital Medicine Physicians LLC | Internal Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-21 |
| 1043839459 | Taylor Egbert | Student in an Organized Health Care Education/Training Program | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629299250 | Jaynie Rich | Nurse Practitioner | 1200 Everett Drive, N. Pavillion, Oklahoma City, OK 73104 | 2007-05-01 |
| 1174677314 | Caitlin Trang Thi | Nurse Practitioner | 1200 Everett Dr., 7th Fl. North Pavilion, Oklahoma City, OK 73104 | 2007-01-23 |
| 1720638455 | Bailey Moyer | Nurse Practitioner | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2019-09-15 |
| 1417503129 | Sarah Ann Shelton | Nurse Practitioner | 1200 Everett Dr Fl 7, Oklahoma City, OK 73104-5047 | 2019-08-18 |
| 1720546930 | Michelle Anne Seright | Nurse Practitioner | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-03-06 |
| 1487155875 | Diana Lynn Freel | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2018-02-22 |
| 1689192718 | Angela Lynn Seddelmeyer | Nurse Practitioner | 1200 Everett Drive, Etnp 7504, Oklahoma City, OK 73104-5047 | 2017-09-09 |
| 1841731361 | Angelika Carpenter | Nurse Practitioner | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2017-03-16 |
| 1629513056 | Marla Sue Treib | Nurse Practitioner | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2016-12-20 |
| 1235515099 | Carla Hetherington | Nurse Practitioner | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2015-08-04 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.