DR. BRIAN SOONGYONG JU (NPI# 1194780262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194780262 |
| Entity Type | Individual |
| Full Name | DR. BRIAN SOONGYONG JU |
| Credential | M.D. |
| Practice Address |
4135 S Power Rd Ste 117 Mesa AZ 85212-3625 |
| Practice Telephone | (480) 892-2456 |
| Practice Fax Number | 4808922458 |
| Mailing Telephone | (480) 892-2456 |
| Mailing Fax Number | 4808922458 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 33676 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710240601 | Brian Lee Ju | Radiology | 51 N 39th St, Philadelphia, PA 19104-2640 | 2012-06-17 |
| Street Address |
4135 S POWER RD STE 117 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831603604 | Amalia Camille Collins | Physician Assistant | 4135 S Power Rd Ste 117, Mesa, AZ 85212-3625 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465081 | Arizona Advanced Surgical and Pain | Surgery | 5235 E Southern Ave Ste D106-444, Mesa, AZ 85206-3626 | 2020-07-29 |
| 1215411970 | Center for Vein Restoration Az LLC | Surgery | 1500 S Dobson Rd Ste 310, Mesa, AZ 85202-4751 | 2018-09-19 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1316468333 | Mesa Outpatient Treatment Center LLC | Surgery | 4540 E Baseline Rd Ste 119, Mesa, AZ 85206 | 2017-06-29 |
| 1770914228 | Minimally Invasive Spine,llc | Surgery | 4860 E Baseline Rd, Suite 101, Mesa, AZ 85206-4669 | 2013-12-10 |
| 1063755973 | Kambiz Kamrani | Surgery | 6553 E Baywood Ave Ste 101, Mesa, AZ 85206-1753 | 2013-03-28 |
| 1609024017 | Robert E Leber Md PC | Surgery | 1500 S Dobson Rd Ste 312, Mesa, AZ 85202-4752 | 2008-08-28 |
| 1528246352 | Patient First Assisting LLC | Surgery | 7329 E Milagro Ave, Mesa, AZ 85209-4966 | 2008-02-04 |
| 1720186851 | Charles Michael Garner | Surgery | 6553 E Baywood Ave Ste 210, Mesa, AZ 85206-1754 | 2006-09-20 |
| 1508885575 | Steven H. Miller | Surgery | 130 S 63rd St Ste 110, Mesa, AZ 85206-1620 | 2006-07-19 |
| Find all providers in MESA | ||||
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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.