JOHN HUNG, MD, PLLC (NPI# 1316079254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316079254 |
| Entity Type | Organization |
| Organization Name | JOHN HUNG, MD, PLLC |
| Practice Address |
11212 Sunrise Blvd E Suite 201 Puyallup WA 98374-8847 |
| Practice Telephone | 2534460750 |
| Practice Fax Number | 2534460757 |
| Mailing Telephone | 2534460750 |
| Mailing Fax Number | 2534460757 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | JENNIE LYNN NASH (OFFICE MANAGER) |
| Authorized Official Telephone | 2534460750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD00046263 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1123140 | 05 | |
| WA | REGENCE | 1684HU | 01 |
| Street Address |
11212 SUNRISE BLVD E SUITE 201 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-8847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068067 | Jason Dean Brayley | Family Medicine | 11212 Sunrise Blvd E, Ste 201, Puyallup, WA 98374-8847 | 2006-01-20 |
| 1215181482 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 | 2008-11-13 |
| 1790963866 | Northwest Foot and Ankle Center, Ps | Podiatrist | 11212 Sunrise Blvd E, Suite 203, Puyallup, WA 98374-8847 | 2008-01-31 |
| 1811177975 | Family Foot Health Center Inc. | Podiatrist | 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 | 2007-11-06 |
| 1588788731 | Medical Imaging Northwest, LLP | Radiology | 11212 Sunrise Blvd E, Suite 200, Puyallup, WA 98374-8847 | 2007-03-16 |
| 1043371909 | Ryan Riel | Orthopaedic Surgery | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-12-13 |
| 1891705935 | Timothy S Grace | Podiatrist | 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 | 2006-08-09 |
| 1548201163 | Daniel C Ene Stroescu | Internal Medicine | 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 | 2006-06-08 |
| 1386683795 | Physiotherapy Associates Inc | Clinic/Center | 11212 Sunrise Blvd E, Suite 202, Puyallup, WA 98374-8847 | 2006-06-05 |
| 1134176340 | Theresa K Martin | Physician Assistant | 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 | 2006-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477572931 | James J Wyman | Orthopaedic Surgery | 11212 Sunrise Blvd E Ste 201, Puyallup, WA 98374-8847 | 2006-07-18 |
| 1922114701 | Megan Lynn Charboneau | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-08-22 |
| 1104845668 | John C Hung | Orthopaedic Surgery | 1450 5th St Se, #4200, Puyallup, WA 98372-4602 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073799 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 150 Andover Park W, Tukwila, WA 98188-2801 | 2018-12-05 |
| 1376751669 | Christopher J. Van Hofwegen | Orthopaedic Surgery | 2979 Squalicum Pkwy Ste 203, Bellingham, WA 98225-1813 | 2007-05-18 |
| 1194822874 | Amaryllis J. Scott | Orthopaedic Surgery | 785 E Holland Ave, Spokane, WA 99218-1257 | 2006-09-17 |
| 1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
| 1205887056 | Christopher George Anderson | Orthopaedic Surgery | 12410 East Sinto, Suite 210, Spokane, WA 99216 | 2006-05-15 |
| 1942250535 | Vincent M Santoro | Orthopaedic Surgery | 12333 Ne 130th Lane, #400, Kirkland, WA 98034-7467 | 2006-05-12 |
| 1720040371 | Phillip A Medina | Orthopaedic Surgery | 4361 Talbot Road S, #102, Renton, WA 98055 | 2006-04-06 |
| 1356326870 | Donald William Henline | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2005-12-07 |
| 1679122758 | Taylor Nicole Fowers | Orthopaedic Surgery | 12039 Ne 128th St Ste 400, Kirkland, WA 98034-3029 | 2019-09-10 |
| 1952831083 | Kyle Hazelwood Md Pllc | Orthopaedic Surgery | 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 | 2017-06-12 |
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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.