EUN CHUNG (NPI# 1811091085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811091085 |
| Entity Type | Individual |
| Full Name | EUN CHUNG |
| Other Name | CONNIE KYUNG CHUNG |
| Credential | D.O. |
| Practice Address |
2470 Mt. Zion Parkway Kaiser Permanente Southwood Specialty Center Jonesboro GA 30236 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 2288689641 |
| Practice Fax Number | 2288674855 |
| Mailing Telephone | 4043647070 |
| Mailing Fax Number | 2288651457 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2014-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2005013743 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
064912 | GA | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
19730 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07532826 | 05 |
| Street Address |
2470 MT. ZION PARKWAY KAISER PERMANENTE SOUTHWOOD SPECIALTY CENTER |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922114974 | Sareeta S. Parker | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2006-08-22 |
| 1023262185 | Livia Van | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2008-11-14 |
| 1891954459 | Dionne Denise Louis | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2008-06-08 |
| 1770762452 | Rahul S Nayak | Internal Medicine | 2470 Mt. Zion Parkway, Kaiser Permanente - Southwood Specialty Office, Jonesboro, GA 30236 | 2007-10-30 |
| 1245393511 | Amish N. Patel | Internal Medicine | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280780 | Arthritis and Rheumatism Associates LLC | Internal Medicine | 2231 Hillpark Cove, Jonesboro, AR 72401 | 2016-12-21 |
| 1669424966 | Alan J. Gottlieb | Internal Medicine | 7823 Spivey Station Blvd Ste 310, Jonesboro, GA 30236 | 2006-05-16 |
| 1083670749 | Beata Filip-majewski | Internal Medicine | 2231 Hill Park Cove, Jonesboro, AR 72401 | 2006-04-21 |
| 1447228663 | Randy D Roberts | Internal Medicine | 1000 C East Matthews, Jonesboro, AR 72401 | 2006-03-14 |
| 1245208503 | Randy D Roberts Md Pa | Internal Medicine | 1000c East Matthews, Jonesboro, AR 72401 | 2006-03-10 |
| 1821203878 | Andres Salazar | Internal Medicine | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2007-05-13 |
| 1003873019 | Leslie Mccasland | Internal Medicine | 2231 Hill Park Cove, Jonesboro, AR 72401 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1609428325 | Duluth Regenerative and Joint Institute LLC | Internal Medicine | 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096-6387 | 2019-07-12 |
| 1629464805 | Articularis Healthcare Group Inc. | Internal Medicine | 961 Smoky Mountain Springs Ln Ne Ste A, Gainesville, GA 30501-2418 | 2015-04-14 |
| 1013312040 | Heart of Georgia Rheumatology LLC | Internal Medicine | 1508 Hardeman Ave Ste A, Macon, GA 31201-1471 | 2014-11-04 |
| 1770922072 | Suzana Alex John | Internal Medicine | 247 Whitehead Biomedical Research Bldg 615 Michael St, Atlanta, GA 30322 | 2013-06-19 |
| 1083960447 | Taik Kim | Internal Medicine | 11685 Alpharetta Hwy Ste 120, Roswell, GA 30076-4910 | 2012-08-02 |
| 1851655518 | Romy Nicolas Abou Mrad | Internal Medicine | 1659 Briarcliff Rd Ne, Appartment # 1302, Atlanta, GA 30306-2119 | 2012-06-27 |
| 1881960383 | Manmohan Gupta M.d., P.C. | Internal Medicine | 770 Pine St., Suite 440, Macon, GA 31201-7599 | 2012-03-29 |
| 1669744769 | Padmanaidu Karnam | Internal Medicine | 1622 Mars Hill Rd Ste C, Watkinsville, GA 30677-4893 | 2012-02-03 |
| 1043517683 | Jatin Patel | Internal Medicine | 11685 Alpharetta Highway, Suite 120, Roswell, GA 30076 | 2011-02-17 |
| 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.