DR. CHARLIE JUNG (NPI# 1245316702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245316702 |
| Entity Type | Individual |
| Full Name | DR. CHARLIE JUNG |
| Credential | MD |
| Practice Address |
9101 Stony Point Dr Richmond VA 23235 |
| Practice Telephone | 8043309105 |
| Practice Fax Number | 8042876119 |
| Mailing Telephone | 8043309105 |
| Mailing Fax Number | 8042876119 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0101 241194 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD | P00418748 | 01 |
| VA | MEDICARE | 014334V08 | 01 |
| VA | 1245316702 | 05 |
| Street Address |
9101 STONY POINT DR |
| City | RICHMOND |
| State | VA |
| Zip Code | 23235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064292 | John Vincent Booth | Anesthesiology | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2005-06-27 |
| 1144831462 | Morgan Stiebel Dickinson | Nurse Practitioner | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2020-08-11 |
| 1689295057 | Martha Ellen Minton | Registered Nurse | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2020-04-27 |
| 1386284016 | Sabreena G Gunn | Nurse Practitioner | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2020-01-10 |
| 1073169348 | Katherine Chandler Quicke | Nurse Practitioner | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2019-08-13 |
| 1477118313 | Susan Williams | Nurse Practitioner | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2019-05-07 |
| 1669951869 | Abigail Abene Amuquandoh | Nurse Practitioner | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2018-08-08 |
| 1972081198 | Lisa Dixon | Nurse Practitioner | 9101 Stony Point Dr, Richmond, VA 23235 | 2018-07-31 |
| 1861855751 | Kara M. Parker | Nurse Practitioner | 9101 Stony Point Dr, Richmond, VA 23235 | 2016-03-30 |
| 1154709228 | Andrew C Eschenroeder | Urology | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831533843 | Andrew Todd | Urology | 793 Eastern Byp Ste 101, Richmond, KY 40475-2425 | 2013-04-20 |
| 1053656991 | Baptist Health Richmond, Inc. | Urology | 1013 Center Drive, #5, Richmond, KY 40475-2407 | 2012-12-04 |
| 1952628463 | Jerome Grayson Morgan Jr. | Urology | 1205 Melville Sq, 302, Richmond, CA 94804-4555 | 2010-04-23 |
| 1992903769 | Blake Walter Moore | Urology | 9101 Stony Point Dr., Richmond, VA 23235 | 2007-07-03 |
| 1568529113 | Urology Specialists of Richmond LLC | Urology | 7137 Jahnke Rd, Richmond, VA 23225-4017 | 2007-01-02 |
| 1700974797 | Denis A Yalkut | Urology | 2161 Lexington Rd Ste 2, Richmond, KY 40475-7952 | 2006-10-11 |
| 1972618858 | William N Castle | Urology | 7135 Jahnke Road, Richmond, VA 23225-4017 | 2006-08-20 |
| 1316969322 | Robley D Bates IIi | Urology | 1455 Johnston-willis Drive, Richmond, VA 23235 | 2006-07-25 |
| 1669435558 | Eric P. Cote | Urology | 9101 Stony Point Drive, Richmond, VA 23235 | 2006-04-11 |
| 1053392720 | Timothy S. Siegel | Urology | 1050 Reid Pkwy Ste 325, Urological Care, Richmond, IN 47374-1161 | 2005-11-09 |
| Find all providers in RICHMOND | ||||
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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.