MARTHA LEE LJUNG (NPI# 1457356636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457356636 |
| Entity Type | Individual |
| Full Name | MARTHA LEE LJUNG |
| Credential | MD |
| Practice Address |
3710 Shipyard Boulevard Wilmington NC 28403 |
| Practice Telephone | 9104521400 |
| Practice Fax Number | 9103321072 |
| Mailing Telephone | 9104521400 |
| Mailing Fax Number | 9103321072 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2010-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 36379 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Q36379 | 05 | |
| NC | MEDCOST | B4547 | 01 |
| NC | RAILROAD MEDICARE | 930085802 | 01 |
| NC | RAILROAD MEDICARE | 930086667 | 01 |
| NC | 8952339 | 05 | |
| NC | UNITED HEALTHCARE | 01-28704 | 01 |
| NC | BCBS | 52339 | 01 |
| Street Address |
3710 SHIPYARD BOULEVARD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558755165 | Ecep II Pa | Emergency Medicine | 151 Scotts Hill Medical Drive, Wilmington, NC 28411-9999 | 2015-03-20 |
| 1629393574 | Brian James Mcgrath Jr. | Emergency Medicine | Eastern Carolina Emergency Physicians, 4402 Shipyard Boulevard, Wilmington, NC 28403 | 2010-04-05 |
| 1821261819 | Pearlie Bradford Watkins IIi | Emergency Medicine | 4402 Shipyard Blvd., Eastern Carolina Emergency Physicians, Wilmington, NC 28403 | 2008-04-10 |
| 1124225057 | Vein Specialists of North Carolina, Pa | Emergency Medicine | 6752 Rock Spring Road, Suite #200, Wilmington, NC 28405 | 2007-07-03 |
| 1255450417 | James K. Bouzoukis | Emergency Medicine | 111 Wayland Rd, Wilmington, DE 19807-2529 | 2007-03-28 |
| 1164571907 | Heather M Schulte | Emergency Medicine | 488 Ireland Rd, Wilmington, OH 45177-9706 | 2007-01-10 |
| 1992871917 | Ecep II Pa | Emergency Medicine | 5301 Wrightsville Ave, Wilmington, NC 28403-6510 | 2006-11-28 |
| 1194824177 | Vijay Ramchandra Randive | Emergency Medicine | 6932j Market Street, Wilmington, NC 28411 | 2006-09-22 |
| 1538195540 | Ronald Charles Demas | Emergency Medicine | 608 Dawson Street, Suite 101, Wilmington, NC 28401 | 2006-06-23 |
| 1760439038 | Shashikala J Patel | Emergency Medicine | 7th and Clayton Streets, Wilmington, DE 19805 | 2006-05-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.