DR. MATTHEW T JUNG (NPI# 1316941263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316941263 |
Entity Type | Individual |
Full Name | DR. MATTHEW T JUNG |
Credential | M.D. |
Practice Address |
4003 Kresge Way Ste 100 Louisville KY 40207-4652 |
Mailing Address |
4003 Kresge Way Ste 300 Louisville KY 40207-4652 |
Practice Telephone | 5028975139 |
Practice Fax Number | 5028966218 |
Mailing Telephone | 5028975139 |
Mailing Fax Number | 5028966218 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2017-02-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
34349 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64439433 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588970115 | Matthew Wayne Jung | Internal Medicine | 1031 W 34th St Ste 430, Los Angeles, CA 90089-5310 | 2010-08-19 |
1861992513 | Matthew Jung | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-02-20 |
1376839944 | Matthew Enkyum Jung | Otolaryngology | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506 | 2011-06-22 |
Street Address |
4003 KRESGE WAY STE 100 |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063415099 | Adrian J Pellegrini | Psychiatry & Neurology | 4003 Kresge Way, Ste 224, Louisville, KY 40207-4652 | 2005-05-23 |
1821534546 | Crystal Labbato | Nurse Practitioner | 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 | 2017-01-19 |
1255889721 | Alana Darnall | Nurse Practitioner | 4003 Kresge Way, Suite 228, Louisville, KY 40207-4652 | 2016-09-14 |
1376940569 | Stephanie Anne Wilson | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2014-12-03 |
1184026205 | Wendi Suzanne Haller | Nurse Practitioner | 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 | 2014-09-19 |
1336572601 | Baptist Health Medical Group Inc | Nurse Practitioner | 4003 Kresge Way, Suite 410, Louisville, KY 40207-4652 | 2013-08-09 |
1235430166 | Gigi Michelle Manuel | Nurse Practitioner | 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 | 2010-11-09 |
1669773511 | Whitney Dawn Perry | Nurse Practitioner | 4003 Kresge Way, Ste 500, Louisville, KY 40207-4652 | 2010-11-09 |
1215240627 | Shana Cassady | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2010-07-15 |
1487984514 | Baptist Health Medical Group Inc | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2010-01-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
Find all providers in zip 40207 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 |
---|---|---|---|---|
1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
1003398207 | Siddharth Pahwa | Surgery | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202-3841 | 2018-09-04 |
1669970661 | Community Medical Associates, Inc. | Surgery | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-25 |
1356611909 | University of Louisville Physicians, Inc | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-01-12 |
1043518749 | Hazaim Alwair | Surgery | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2011-03-03 |
1841501087 | Barbara Hanna Davis | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217-1319 | 2010-06-22 |
1740423896 | Noah T Scherrer | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2009-04-18 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40207 |
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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.