DR. AMANDA SHU JUN CHUNG (NPI# 1134580590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134580590 |
| Entity Type | Individual |
| Full Name | DR. AMANDA SHU JUN CHUNG |
| Other Name | DR. AMANDA SHU JUN TAN |
| Credential | B SC MBBS MS FRACS |
| Practice Address |
Department of Urology, Level 4 West, Main Building Concord Repatriation General Hospital, Hospital Road Concord NEW SOUTH WALES 02139 AU |
| Mailing Address |
225 Clearfield Avenue Department of Urology Eastern Virginia Medical School Virginia Beach VA 23462 |
| Practice Telephone | 0432770105 |
| Mailing Telephone | (757) 452-3459 |
| Mailing Fax Number | 7579614099 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PROFESSIONAL LICENSE | 0116029628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653189 | Amanda Chung | Physical Therapist | 2043 Tower Dr, Glenview, IL 60026-7803 | 2020-09-09 |
| 1235439126 | Amanda Gail Chung | Speech-Language Pathologist | 3500 Annandale Ln, Suwanee, GA 30024-2150 | 2010-10-26 |
| Street Address |
DEPARTMENT OF UROLOGY, LEVEL 4 WEST, MAIN BUILDING CONCORD REPATRIATION GENERAL HOSPITAL, HOSPITAL ROAD |
| City | CONCORD |
| State | NEW SOUTH WALES |
| Zip Code | 02139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814504 | Katia L Mosley | Student in an Organized Health Care Education/Training Program | 2730 Kay Ave, Concord, CA 94520-4730 | 2020-09-01 |
| 1003425679 | Kiera Emery | Student in an Organized Health Care Education/Training Program | 1218 Hydrangea Cir Nw, Concord, NC 28027-7250 | 2020-07-29 |
| 1598386823 | Cameron Neilson | Student in an Organized Health Care Education/Training Program | 1245 Pine Creek Way Apt B, Concord, CA 94520-3647 | 2020-04-28 |
| 1114547742 | Alyssa Marie Bernat | Student in an Organized Health Care Education/Training Program | 4493 Oakbrook Ct, Concord, CA 94521-4407 | 2020-04-23 |
| 1487297016 | Sajjad Bidar | Student in an Organized Health Care Education/Training Program | 3838 Clayton Rd Apt 203, Concord, CA 94521-2564 | 2019-10-27 |
| 1699316315 | Brendan Cacciola | Student in an Organized Health Care Education/Training Program | 484 Josiah Bartlett Rd, Concord, NH 03301-5928 | 2019-10-03 |
| 1336792142 | Jillian Gori | Student in an Organized Health Care Education/Training Program | 3 S Main St Apt 46, Concord, NH 03301-4802 | 2019-07-21 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1134780182 | Elizabeth Duval | Student in an Organized Health Care Education/Training Program | 20 Foxcross Cir, Concord, NH 03301-6920 | 2019-06-20 |
| 1194281857 | Jaimelee Marie Roberts | Student in an Organized Health Care Education/Training Program | 1441 Detroit Ave Apt 252, Concord, CA 94520-3548 | 2019-02-18 |
| Find all providers in CONCORD | ||||
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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.