JEANNIE HYE-JOON CHUNG (NPI# 1770610909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770610909 |
| Entity Type | Individual |
| Full Name | JEANNIE HYE-JOON CHUNG |
| Credential | MD |
| Practice Address |
107 Highland Ave Salem MA 01970-2721 |
| Practice Telephone | 9787443223 |
| Practice Fax Number | 9787444990 |
| Mailing Telephone | 9787443223 |
| Mailing Fax Number | 9787444990 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
220376 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 469790 | 01 |
| MA | HARVARD PILGRIM | AA18695 | 01 |
| MA | BLUE CROSS BLUE SHIELD | CHJ28101 | 01 |
| MA | 3196615 | 05 | |
| MA | US HEALTH | 3631661 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265701528 | Jeannie Chung | Dentist | 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 | 2011-12-15 |
| Street Address |
107 HIGHLAND AVE |
| City | SALEM |
| State | MA |
| Zip Code | 01970-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710725 | John Vonweiss M.d. Inc | Dermatology | 107 Highland Ave, Salem, MA 01970-2721 | 2006-05-24 |
| 1669515128 | John F Vonweiss | Dermatology | 107 Highland Ave, Salem, MA 01970-2721 | 2007-02-15 |
| 1932287075 | Charlene Saulnier | Dermatology | 107 Highland Ave, Salem, MA 01970-2721 | 2006-11-02 |
| 1699790055 | Von Weiss Dermatology Center | Otolaryngology | 107 Highland Ave, Salem, MA 01970-2721 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434614 | Jeannie H Chung Md PC | Otolaryngology | 14 Jefferson Rd, Chestnut Hill, MA 02467-2312 | 2012-07-17 |
| 1083606016 | Anna E. Petropoulos | Otolaryngology | 80 Lindall St, Danvers, MA 01923-2135 | 2005-08-16 |
| 1164867479 | Derosa Facial Plastic Surgery PC | Otolaryngology | 91 Newbury St, Suite 300, Boston, MA 02116-3084 | 2013-05-01 |
| 1184858532 | Beacon Facial Plastic Surgery, LLC | Otolaryngology | 15 Dix St, Suite G, Winchester, MA 01890-1870 | 2009-05-13 |
| 1366618464 | Linda Nancy Lee | Otolaryngology | 230 Worcester St, Wellesley, MA 02481-5420 | 2008-05-08 |
| 1104947480 | Andrew J. Dadagian, M.d., Inc. | Otolaryngology | 225 Field St, New Bedford, MA 02740-2134 | 2007-04-03 |
| 1174577928 | Alex Grilli | Otolaryngology | 500 Congress St, Quincy, MA 02169-0908 | 2006-05-19 |
| 1588626204 | John R Stram | Otolaryngology | 830 Harrison Ave, Suite 1400, Boston, MA 02118-2905 | 2006-04-06 |
| 1104817170 | Derrick T. Lin | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-10-31 |
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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.