DR. MATTHEW T JUNG


Address: 4003 Kresge Way, Ste 100, Louisville, KY 40207-4652
Phone: 5028975139

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
34349 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64439433 05

Other Providers MATTHEW JUNG

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

Office Location

Street Address 4003 KRESGE WAY
STE 100
City LOUISVILLE
State KY
Zip Code 40207-4652

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LOUISVILLE
Zip Code 40207

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Dataset Information

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.

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