Jin B Jyung (NPI# 1780636852, PAC ID# 6608816202) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1780636852 |
| PAC ID by PECOS | 6608816202 |
| Professional Enrollment ID | I20050503000997 |
| Full Name | Jin B Jyung |
| Organization Legal Name | SOUTH SHORE WOMEN'S HEALTH CARE PC |
| Address |
2690 S Cleveland Ave Saint Joseph MI 49085-3002 |
| Phone Number | 269428280011 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1973 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4183664774 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 | 269428280011 | SOUTH SHORE WOMEN'S HEALTH CARE PC |
| Organization Legal Name | SOUTH SHORE WOMEN'S HEALTH CARE PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deann K Kutzner | Obstetrics/gynecology | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Michele L Ashton | Obstetrics/gynecology | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Sandra A Fichtner | Nurse Practitioner | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Heidi M Grabemeyer Layman | Obstetrics/gynecology | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Rachael E Proctor | Obstetrics/gynecology | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Street Address |
2690 S CLEVELAND AVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip | 49085-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deann K Kutzner | Obstetrics/gynecology | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Michele L Ashton | Obstetrics/gynecology | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Sandra A Fichtner | Nurse Practitioner | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Heidi M Grabemeyer Layman | Obstetrics/gynecology | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Rachael E Proctor | Obstetrics/gynecology | South Shore Women's Health Care PC | 2690 S Cleveland Ave, Saint Joseph, MI 49085-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Bruce P Hackworth | Psychologist, Clinical | 811 Ship St, 4b, Saint Joseph, MI 49085-1171 | |
| Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
| Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
| Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
| Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
| Find all physicians in zip 49085 | |||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SAINT JOSEPH + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jin B Jyung.
| 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.