JENNIFER MARSHALL CHUNG (NPI# 1831489566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831489566 |
| Entity Type | Individual |
| Full Name | JENNIFER MARSHALL CHUNG |
| Other Name | JENNIFER GINA MARSHALL |
| Credential | M.D. |
| Practice Address |
12348 Old Tesson Rd Suite 250 Saint Louis MO 63128-2251 |
| Practice Telephone | 3142722727 |
| Mailing Telephone | 3142722727 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
2015007392 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609126622 | Jennifer A Chung | Counselor | 3380 162nd St, Flushing, NY 11358-1327 | 2012-09-17 |
| 1538370127 | Jennifer Jian Chung | Nurse Anesthetist, Certified Registered | 1825 Samuel Morse Dr., Reston, VA 20190 | 2007-05-24 |
| 1457838658 | Jennifer Phuong Chung | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2018-07-20 |
| 1376057521 | Jennifer Chung | Dietitian, Registered | 1432 5th Ave, New York, NY 10035-4521 | 2017-11-27 |
| 1336586924 | Jennifer Chung | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2013-05-23 |
| 1467746826 | Jennifer Lynn Chung | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2011-06-02 |
| 1356642854 | Jennifer Chung | Social Worker | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2010-11-15 |
| 1841498722 | Jennifer Chung | Physical Medicine & Rehabilitation | 9250 Blue Ash Rd, Blue Ash, OH 45242-6822 | 2007-07-03 |
| 1659480465 | Jennifer E Chung | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-08-29 |
| Street Address |
12348 OLD TESSON RD SUITE 250 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251929 | Mercy Health Services, LLC | Pharmacy | 12348 Old Tesson Rd, Suite 100, Saint Louis, MO 63128-2215 | 2005-11-03 |
| 1447629464 | Irene Rathjen | Nurse Practitioner | 12348 Old Tesson Rd, Ste 160, Saint Louis, MO 63128-2251 | 2015-09-21 |
| 1831432814 | Jennifer Lynn Tietjen | Nurse Practitioner | 12348 Old Tesson Rd, St 160, Saint Louis, MO 63128-2251 | 2013-03-28 |
| 1891049979 | Regeneration Orthopedics, LLC | Anesthesiology | 12348 Old Tesson Rd, Ste120, Saint Louis, MO 63128-2251 | 2012-10-29 |
| 1578867164 | Emily Joy Riley | Nurse Practitioner | 12348 Old Tesson Rd, Suite 160, Saint Louis, MO 63128-2251 | 2010-12-22 |
| 1700067352 | Ann M Schulte | Nurse Practitioner | 12348 Old Tesson Rd, Suite 160, Saint Louis, MO 63128-2251 | 2007-11-23 |
| 1851588800 | Michael Pineda Gerardo | Internal Medicine | 12348 Old Tesson Rd, Suite 250, Saint Louis, MO 63128-2251 | 2007-10-03 |
| 1699898312 | Amy Susan Beck | Internal Medicine | 12348 Old Tesson Rd, Suite 240, Saint Louis, MO 63128-2251 | 2007-04-09 |
| 1053403915 | Carl Peters | Family Medicine | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2251 | 2006-09-29 |
| 1497854533 | Smith Surgical Services, LLC | Surgery | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2215 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1023592946 | Institute of Medicine LLC | Internal Medicine | 6824 Balson Ave, Saint Louis, MO 63143-2603 | 2018-09-17 |
| 1104235241 | Generation Clinical Partners LLC | Internal Medicine | 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 | 2014-08-02 |
| 1558563890 | Hassan Dawoud Elsiddig | Internal Medicine | 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 | 2007-05-31 |
| 1871795104 | Shehla Sadiq | Internal Medicine | 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 | 2007-05-31 |
| 1184755118 | Geromed, LLC | Internal Medicine | 4675 S Grand Blvd, Saint Louis, MO 63111-1462 | 2007-03-09 |
| 1851446207 | Poonam M Jain | Internal Medicine | 1 Meadow Acres, Saint Louis, MO 63124-1460 | 2007-01-24 |
| 1154484673 | Miriam B Rodin | Internal Medicine | 1402 S Grand Blvd Rm 238, Division of Geriatric Medicine, Saint Louis, MO 63104-1004 | 2006-12-18 |
| 1992815906 | Susan Robinson Reeds | Internal Medicine | 8 Millstone Campus Dr, Ste 1500, Saint Louis, MO 63146-5766 | 2006-08-30 |
| 1780602417 | Monique Marie Williams | Internal Medicine | 969 N Mason Rd Ste 145, Saint Louis, MO 63141 | 2006-07-18 |
| 1124073630 | Rafi Thomas Kevorkian | Internal Medicine | 522 N New Ballas Rd Ste 317, Saint Louis, MO 63141-6840 | 2006-05-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.