JACOB CHUN (NPI# 1033194246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033194246 |
| Entity Type | Individual |
| Full Name | JACOB CHUN |
| Credential | MD |
| Practice Address |
4725 Wellington St Greenville TX 75401-4945 |
| Practice Telephone | 9034550300 |
| Practice Fax Number | 9034550301 |
| Mailing Telephone | 9034550300 |
| Mailing Fax Number | 9034550301 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | L9146 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 214090701 | 05 | |
| TX | BCBS IND. NUMBER | 8CJ777 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 609 Matlock Centre Cir, Arlington, TX 760152535 | 8176769046 | 8176769050 |
| Street Address |
4725 WELLINGTON ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528492048 | Rebecca M Jankowski, Md, Pa | Surgery | 4725 Wellington St, Greenville, TX 75401-4945 | 2013-09-03 |
| 1245358746 | Mcconnell Orthopedic Clinic.p.a. | Specialist | 4725 Wellington St, Greenville, TX 75401-4945 | 2007-03-26 |
| 1316975584 | John Carroll Mcconnell | Specialist | 4725 Wellington St, Greenville, TX 75401-4945 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1225562671 | Julia Carolyn Bedard | Orthopaedic Surgery | 701 Grove Rd Fl 2, Greenville, SC 29605-4210 | 2017-04-12 |
| 1083042220 | Orthopedic Associates of Sw Ohio Inc | Orthopaedic Surgery | 732 Sweitzer St, Greenville, OH 45331-1006 | 2013-10-25 |
| 1053656801 | Reid Physician Associates Inc | Orthopaedic Surgery | 716 Sweitzer St, Greenville, OH 45331-1072 | 2012-12-05 |
| 1477782787 | Lawrence Patrick Brown Jr. | Orthopaedic Surgery | 5 Pilgrims Point Rd, Greenville, SC 29615-2609 | 2009-07-08 |
| 1316190952 | Spartanburg Regional Medical Ctr | Orthopaedic Surgery | 535 W Butler Rd Ste C, Greenville, SC 29607-4833 | 2008-10-28 |
| 1770746059 | Thomas B. Pace Md LLC | Orthopaedic Surgery | 200 Patewood Drive Bld C, Suite 275, Greenville, SC 29615-3593 | 2008-07-07 |
| 1366572257 | Eric M Orenstein Md PC | Orthopaedic Surgery | 705 S Greenville West Dr Ste 102c, Greenville, MI 48838-3532 | 2007-03-07 |
| 1932234044 | John Scullin | Orthopaedic Surgery | 1 Greenville Ortho Center, Greenville, PA 16125-1210 | 2007-02-22 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.