DR. EDWIN KYUNG CHUNG (NPI# 1104841360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104841360 |
| Entity Type | Individual |
| Full Name | DR. EDWIN KYUNG CHUNG |
| Credential | MD |
| Practice Address |
290 Nicholas Pkwy Nw Ste 1 Cape Coral FL 33991-3804 |
| Practice Telephone | 2395731152 |
| Practice Fax Number | 2395731360 |
| Mailing Telephone | 2395731152 |
| Mailing Fax Number | 2395731360 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME124752 | FL | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME124752 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0005X |
Internal Medicine Specialization: Hypertension Specialist |
ME124752 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649256074 | Edwin Chung | Dentist | 6505 216th St Sw Ste 200, Mountlake Terrace, WA 98043-6026 | 2005-12-18 |
| Street Address |
290 NICHOLAS PKWY NW STE 1 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33991-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| 1518509975 | Neliudis Navarro Lores | Nurse Practitioner | 1814 Sw 23rd Ct, Cape Coral, FL 33991 | 2019-10-16 |
| 1487117388 | Johner Therapy Inc | Physical Therapist | 58 Nicholas Pkwy W #105, Cape Coral, FL 33991 | 2019-04-09 |
| 1184176901 | Gerta Avdia | Pharmacist | 611 Old Burnt Store Rd South, Cape Coral, FL 33991 | 2016-10-27 |
| 1285038109 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 301 Sw Pine Island Road, Cape Coral, FL 33991 | 2014-10-21 |
| 1225442676 | Gulf Coast Family Care, Plc | Nurse Practitioner | 814 Sw Pine Island Road, Suite 306, Cape Coral, FL 33991 | 2014-06-13 |
| 1760731848 | Florida Alf, Inc | Clinic/Center | 1318 Santa Barbara Blvd, Cape Coral, FL 33991 | 2012-09-05 |
| 1952574832 | Michael Anthony Fritz | Physical Therapist | 517 S.w. 8th Street, Cape Coral, FL 33991 | 2008-04-10 |
| 1306982350 | Dawn Marie Galbreath | Registered Nurse | 1002 Sw 9th Avenue, Cape Coral, FL 33991 | 2007-01-29 |
| Find all providers in zip 33991 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1255932703 | Cape Coral Integrated Medical | Internal Medicine | 643 Cape Coral Pkwy E Ste E, Cape Coral, FL 33904-8549 | 2020-11-02 |
| 1801495585 | United Teledoc Inc | Internal Medicine | 231 Del Prado Blvd S, Cape Coral, FL 33990-5707 | 2020-10-22 |
| 1972074706 | P & C Medical Care,inc | Internal Medicine | 1305 Se 47th Ter, Cape Coral, FL 33904-9674 | 2018-12-05 |
| 1801281928 | Sarada Penukonda Md | Internal Medicine | 323 Del Prado Blvd S Ste 100, Cape Coral, FL 33990-1747 | 2015-04-06 |
| 1669613998 | Juan C. Domingo, M.d.,p.a. | Internal Medicine | 900 Sw Pine Island Road, Unit 208, Cape Coral, FL 33991-0000 | 2009-03-17 |
| 1720146566 | Michele A Candelore | Internal Medicine | 3326 Del Prado Blvd S, Suite #8, Cape Coral, FL 33904-7299 | 2006-12-05 |
| 1992887061 | Sarada Penukonda | Internal Medicine | 323 Del Prado Blvd., S, Suite 100, Cape Coral, FL 33990 | 2006-10-19 |
| 1437245834 | Luis Antonio Espina | Internal Medicine | 1511 Se 29th Ter, Cape Coral, FL 33904-3953 | 2006-10-04 |
| 1356365043 | Ajay K Dhawan | Internal Medicine | 1108 Amber Lake Ct, Cape Coral, FL 33909-2946 | 2006-07-26 |
| 1659316925 | Christopher S Yuvienco | Internal Medicine | 2018 Del Prado Blvd S, Cape Coral, FL 33990-4562 | 2006-06-19 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33991 |
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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.