DR. DERRICK LUNG (NPI# 1821259342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821259342 |
| Entity Type | Individual |
| Full Name | DR. DERRICK LUNG |
| Credential | MD |
| Practice Address |
1510 Page Mill Rd Palo Alto CA 94304-1125 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 4156433242 |
| Mailing Telephone | 5108517423 |
| Mailing Fax Number | 5108799120 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A107783 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1510 PAGE MILL RD |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497046130 | Stanford Hospital & Clinics | General Acute Care Hospital | 1510 Page Mill Rd, M137, Palo Alto, CA 94304-1125 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| 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 |
|---|---|---|---|---|
| 1326493503 | Lauren Cantwell | Emergency Medicine | 900 Quarry Rd, Palo Alto, CA 94304 | 2016-04-26 |
| 1851770119 | Megan Storm | Emergency Medicine | 3765a La Selva Dr, Palo Alto, CA 94306-3203 | 2015-05-20 |
| 1508151473 | Timothy Charles Peck | Emergency Medicine | 734 Webster St, D, Palo Alto, CA 94301-2630 | 2011-06-17 |
| 1275761959 | Cecily Fitzgerald | Emergency Medicine | 4067 Transport St Ste B, Palo Alto, CA 94303-4914 | 2009-07-01 |
| 1912155086 | Donald Adams Barr | Emergency Medicine | 948 Ramona St, Palo Alto, CA 94301-2736 | 2008-09-03 |
| 1639105489 | Bernard Wilhelm Dannenberg | Emergency Medicine | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2006-06-23 |
| 1912943507 | Matthew Charles Strehlow | Emergency Medicine | 701 Welch Rd Bldg C, Palo Alto, CA 94304-1713 | 2006-06-21 |
| 1760434708 | Sam H Shen | Emergency Medicine | 2690 Hanover St, Palo Alto, CA 94304-1117 | 2006-05-17 |
| 1487268777 | David Alexander Obert | Emergency Medicine | Department of Emergency Medicine, 900 Welch Road, Suite 350, Palo Alto, CA 94304 | 2020-09-03 |
| 1912403031 | Carl Mikas Preiksaitis | Emergency Medicine | 900 Welch Rd Ste 350, Palo Alto, CA 94304-1807 | 2018-04-05 |
| Find all providers in PALO ALTO | ||||
Please comment or provide details below to improve the information on DR. DERRICK LUNG.
| 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.