DR. MATTHEW ENKYUM JUNG (NPI# 1376839944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376839944 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW ENKYUM JUNG |
| Credential | M.D. |
| Practice Address |
128 Lilly Rd Ne Ste 202 Olympia WA 98506 |
| Mailing Address |
128 Lilly Rd Ne Ste 202 Olympia WA 98506-7400 |
| Practice Telephone | 3603576314 |
| Mailing Telephone | 3603576314 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 60892789 | WA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 2011015922 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 128 Lilly Rd Ne Ste 202, Olympia, WA 98506 | 3603576314 | |
| 1301 Route 72, Suite 340, Manahawkin, NJ 080503957 | 7322807855 | 7322807815 |
| 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 |
| 1316941263 | Matthew T Jung | Surgery | 4003 Kresge Way, Ste 100, Louisville, KY 40207-4652 | 2005-06-09 |
| Street Address |
128 LILLY RD NE STE 202 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487669305 | Ear, Nose and Throat Associates Sw, Inc. P.s. | Specialist | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-5029 | 2006-07-29 |
| 1689297228 | Bryce Sterling Phillips | Audiologist | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2020-05-18 |
| 1356909121 | Jenna Leigh Spegele | Audiologist | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2019-06-05 |
| 1922597152 | Mariana Mcilwain | Audiologist | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2018-05-03 |
| 1750703856 | Brittney N Collins | Hearing Instrument Specialist | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2014-01-09 |
| 1831363001 | Cheri Ann Wolfe-haas | Audiologist-Hearing Aid Fitter | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2008-04-17 |
| 1457472961 | Nathan Benjamin Sautter | Otolaryngology | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220980 | Sound E.n.t. Consultants, LLC | Otolaryngology | 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 | 2017-12-13 |
| 1013111673 | Alan Lee Cowan | Otolaryngology | 3920 Capital Mall Dr Sw Ste 100a, Olympia, WA 98502-8701 | 2007-06-14 |
| 1558577627 | Sung-won Kim | Otolaryngology | 128 Lilly Rd Ne, 202, Olympia, WA 98506-7400 | 2007-05-15 |
| 1457472961 | Nathan Benjamin Sautter | Otolaryngology | 128 Lilly Rd Ne Ste 202, Olympia, WA 98506-7400 | 2007-04-02 |
| 1205984309 | Robert S. Marlan | Otolaryngology | 111 Market St Ne, Suite 355, Olympia, WA 98501-1008 | 2007-01-08 |
| 1669537007 | James S. Hannum | Otolaryngology | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-26 |
| 1912987876 | Carl B. Myers | Otolaryngology | 700 Lilly Road Ne, Olympia, WA 98506 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104203793 | Eric Andrew Eisen | Otolaryngology | 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 | 2015-05-03 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1760810311 | Gerald Guy Randolph | Otolaryngology | 10491 E State Route 106, Union, WA 98592 | 2013-10-17 |
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1326306317 | Priyanka Shah O'brien | Otolaryngology | 1801 1st Ave Ste 3a, Longview, WA 98632-3271 | 2012-04-26 |
| 1033486402 | Richard J. Cavell | Otolaryngology | 1013 Marshall Dr, Camano Island, WA 98282-8787 | 2011-11-29 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1588955785 | Nicholas C Vanburen | Otolaryngology | 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 | 2011-04-22 |
| 1881925956 | Steve Lars Risa | Otolaryngology | 4538 177th Ave Se, Bellevue, WA 98006-6519 | 2010-01-28 |
| 1043453533 | Sapna Ashok Patel | Otolaryngology | 600 Broadway Ste 280, Seattle, WA 98122-5371 | 2009-04-13 |
| Find all providers with the same taxonomy | ||||
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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.