DR. SOOHWAN CHUN (NPI# 1073855458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073855458 |
| Entity Type | Individual |
| Full Name | DR. SOOHWAN CHUN |
| Credential | M.D. |
| Practice Address |
1800 Mulberry St Scranton PA 18510-2369 |
| Mailing Address |
100 N 100 North Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5707038000 |
| Practice Fax Number | 5707037418 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD467129 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 E 210th St, Bronx, NY 104672401 | 7189202625 | 7189208403 |
| Street Address |
1800 MULBERRY ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444507 | Community Medical Center | General Acute Care Hospital | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-06-01 |
| 1144832734 | Jennifer Marie Remetta | Clinical Nurse Specialist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-17 |
| 1982215380 | Stephanie Cybulski | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-11 |
| 1386254803 | Marisa Perrella | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-10 |
| 1396354494 | Lindsay Michelle Okubo | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-24 |
| 1275141855 | Brittany Alessandra Field | Nurse Practitioner | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-20 |
| 1932726478 | Patrick Teehan | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-01 |
| 1184247124 | Kara Elizabeth Golya | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-05-26 |
| 1124664479 | Christina Belko | Physical Therapy Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-11-21 |
| 1679119028 | Tracey Ganz | Occupational Therapist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970273 | Abhinav Goyal | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2014-07-15 |
| 1255771697 | Dhruv Lowe | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2013-06-30 |
| 1750526141 | Pardeep Bansal | Internal Medicine | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2008-12-13 |
| 1659493534 | Cianni and Sherwin PC | Internal Medicine | 517 Ash St, Suite 1, Scranton, PA 18509-2903 | 2007-04-04 |
| 1356388367 | Edward Alan Sherwin | Internal Medicine | 517 Ash St, Suite 1, Scranton, PA 18509-2902 | 2006-05-31 |
| 1912905605 | Gastrointestinal Consultants of Nepa | Internal Medicine | 517 Ash St, Ste 1, Scranton, PA 18509-2903 | 2005-07-07 |
| 1285631812 | Christopher A Barbarevech | Internal Medicine | 517 Ash St, Ste 1, Scranton, PA 18509-2903 | 2005-06-28 |
| 1811994452 | David Rutta | Internal Medicine | 517 Ash St, Scranton, PA 18509-2903 | 2005-06-28 |
| 1801893482 | Bharat K Patel | Internal Medicine | 517 Ash St, Ste 1, Scranton, PA 18509-2903 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060707 | Gastrointestinal Wellness Clinic LLC | Internal Medicine | 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 | 2018-10-29 |
| 1003394545 | Lyanne Marie Caraballo | Internal Medicine | 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 | 2018-08-06 |
| 1073047205 | Margaret Spinosa | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2017-04-14 |
| 1881131472 | Paul Frey Spears | Internal Medicine | 490 Shady Dell Rd, York, PA 17403-4483 | 2017-01-20 |
| 1801258686 | Wai Kan Chiu | Internal Medicine | 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 | 2016-03-22 |
| 1598189631 | Richard B. Lynn | Internal Medicine | 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 | 2014-02-10 |
| 1427390822 | Meeta Desai | Internal Medicine | Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 | 2013-03-23 |
| 1225372519 | Scott Howell Wright | Internal Medicine | 1118 Riverview Ln, Conshohocken, PA 19428-2964 | 2012-11-27 |
| 1952665481 | Excela Health Physician Practices, Inc. | Internal Medicine | 530 South St Ste G, Greensburg, PA 15601-2775 | 2012-06-29 |
| 1033479704 | William Blake Huntington | Internal Medicine | 1088 W Baltimore Pike Ste 2407, Media, PA 19063 | 2012-05-29 |
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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.