Shu Ting Kung (NPI# 1053706705, PAC ID# 1355654567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053706705 |
| PAC ID by PECOS | 1355654567 |
| Professional Enrollment ID | I20180611002971 |
| Full Name | Shu Ting Kung |
| Organization Legal Name | 4C MEDICAL GROUP PLC |
| Address |
9590 E Ironwood Square Dr Suite 125 Scottsdale AZ 85258-4583 |
| Phone Number | 4804553000 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2769653641 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030121 | MOUNTAIN VISTA MEDICAL CENTER, LP |
| Address | Phone | Organization |
|---|---|---|
| 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 | 4804553000 | 4C MEDICAL GROUP PLC |
| Organization Legal Name | 4C MEDICAL GROUP PLC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Rodriguez | Nurse Practitioner | 4c Medical Group Plc | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8581 |
| Maria Radulovic | Nurse Practitioner | 4c Medical Group Plc | 16620 N 40th St, Suite C1, Phoenix, AZ 85032-3358 |
| Ajay U Mhatre | Interventional Cardiology | 4c Medical Group Plc | 4110 N 108th Ave, Suite 101, Phoenix, AZ 85037-5772 |
| Joseph D Summers | Family Medicine | 4c Medical Group Plc | 16838 E Palisades Blvd, Suite 153, Fountain Hills, AZ 85268-3791 |
| Jodi K Novak | Geriatric Medicine | 4c Medical Group Plc | 36889 N Tom Darlington Dr, A 4, Carefree, AZ 85377-5925 |
| Patricia A Faust | Nurse Practitioner | 4c Medical Group Plc | 600 S Dobson Rd, Suite D27, Chandler, AZ 85224-5691 |
| George L Sibley | Internal Medicine | 4c Medical Group Plc | 16620 N 40th St, Suite C1, Phoenix, AZ 85032-3358 |
| Tarandeep Grewal | Family Medicine | 4c Medical Group Plc | 16620 N 40th St, Suite C1, Phoenix, AZ 85032-3358 |
| Saeed Behbahani | Geriatric Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Sudeep Singh Punia | Internal Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Street Address |
9590 E IRONWOOD SQUARE DR SUITE 125 |
| City | SCOTTSDALE |
| State | AZ |
| Zip | 85258-4583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Payam M Sadr | Psychiatry | 9590 E Ironwood Square Dr, Suite 210, Scottsdale, AZ 85258-4581 | |
| Saeed Behbahani | Geriatric Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Sudeep Singh Punia | Internal Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Essam E Ali | Internal Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Thomas R Taylor | Internal Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Janet F Rinehart | Nurse Practitioner | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Amar P Sharma | Internal Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Nina Sukhrani | Internal Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Sandra Violetta Mele | Internal Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Satyadevi R Sista | Family Medicine | 4c Medical Group Plc | 9590 E Ironwood Square Dr, Suite 125, Scottsdale, AZ 85258-4583 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constantine G Moschonas | Neurology | Sensory Testing Systems, LLC | 8655 E Via Deventura St, Suite E160, Scottsdale, AZ 85258 |
| Peter A Raudzens | Anesthesiology | Sensory Testing Systems, LLC | 8655 E Via Deventura St, Suite E160, Scottsdale, AZ 85258 |
| Fern M Arlen | Neurology | Sensory Testing Systems, LLC | 8655 E Via Deventura St, Suite E160, Scottsdale, AZ 85258 |
| Catherine M Dubiel | Internal Medicine | 8040 E Morgan Trl, Suite 13, Scottsdale, AZ 85258-1211 | |
| Theresa A Gates | Psychologist, Clinical | 8075 E Morgan Trl, Suite 1b, Scottsdale, AZ 85258-1213 | |
| Karen A Thomas | Occupational Therapy | Contact Physical Therapy Scottsdale | 10304 N Hayden Rd, Suite 115, Scottsdale, AZ 85258-1218 |
| Randy J Gootzeit | Occupational Therapy | Contact Physical Therapy Scottsdale | 10304 N Hayden Rd, Suite 115, Scottsdale, AZ 85258-1218 |
| Tyler T Carlson | Physical Therapy | Contact Physical Therapy Scottsdale | 10304 N Hayden Rd, Suite 120, Scottsdale, AZ 85258-1218 |
| Jeanann Schwark | Nurse Practitioner | 8070 E Morgan Trl, Suite 120, Scottsdale, AZ 85258-1228 | |
| Nancy J Roepke | Clinical Psychologist | 10304 N Hayden Rd, Suite 135, Scottsdale, AZ 85258-1231 | |
| Find all physicians in zip 85258 | |||
| City | SCOTTSDALE |
| Zip Code | 85258 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SCOTTSDALE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shu Ting Kung.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.