SANG HO CHUNG (NPI# 1417968124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417968124 |
| Entity Type | Individual |
| Full Name | SANG HO CHUNG |
| Credential | MD |
| Practice Address |
1200 Riverplace Blvd Suite 620 Jacksonville FL 32207-9046 |
| Practice Telephone | 9043966620 |
| Practice Fax Number | 9043966528 |
| Mailing Telephone | 9043966620 |
| Mailing Fax Number | 9043966528 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29534 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 058902100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578677480 | Sang P Chung | Obstetrics & Gynecology | 11100 Warner Ave Ste 106, Fountain Valley, CA 92708-7500 | 2006-08-18 |
| 1780195933 | Sang Hoon Chung | Dentist | 1591 Griffin Road, Twentynine Palms, CA 92278-0000 | 2017-10-16 |
| 1265451108 | Sang K Chung | Pediatrics | 130 East St, Whitinsville, MA 01588-1923 | 2006-07-19 |
| 1841243516 | Sang Van Chung | Pediatrics | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-05-17 |
| Street Address |
1200 RIVERPLACE BLVD SUITE 620 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-9046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902807381 | Aftab Ahmad | Internal Medicine | 1200 Riverplace Blvd, Suite # 620, Jacksonville, FL 32207-9046 | 2005-08-09 |
| 1871996835 | Rebecca Lynn Mackowski | Nurse Practitioner | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2014-10-06 |
| 1063812709 | Tatyana Solonskyi | Nurse Practitioner | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2014-08-29 |
| 1306252408 | Lori Lynn Austin | Nurse Practitioner | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2014-07-09 |
| 1306256938 | Doan Nguyen | Physician Assistant | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2014-05-05 |
| 1427394345 | Kelli Marie Lamb | Physician Assistant | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2012-12-20 |
| 1578816435 | Desiree Ballo Touvoli | Nurse Practitioner | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2012-10-17 |
| 1629320395 | Kerstin Ann Schlachter | Physician Assistant | 1200 Riverplace Blvd, 620, Jacksonville, FL 32207-9046 | 2012-10-05 |
| 1538416680 | Robert Barrett | Nurse Practitioner | 1200 Riverplace Blvd, #620, Jacksonville, FL 32207-9046 | 2012-08-08 |
| 1043565971 | Naveed Ahmed | Internal Medicine | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.