| Tae Jung M.d., Inc. | |
|
15424 Sprucevale Rd East Liverpool OH 43920-9200 | |
| (330) 382-0388 | |
| (330) 382-0389 |
| Full Name | Tae Jung M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 15424 Sprucevale Rd, East Liverpool, Ohio |
| Authorized Official Name and Position | Tae Hui Jung (PRESIDENT) |
| Authorized Official Contact | 3303820388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tae Jung M.d., Inc. 15424 Sprucevale Rd East Liverpool OH 43920-9200 Ph: (330) 382-0388 | Tae Jung M.d., Inc. 15424 Sprucevale Rd East Liverpool OH 43920-9200 Ph: (330) 382-0388 |
| NPI Number | 1306021878 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 12/13/2013 |
| Medicare PECOS PAC ID | 6204911928 |
|---|---|
| Medicare Enrollment ID | O20080305000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306021878 | NPI | - | NPPES |
| 1306021878 | Other | OH | NPI GROUP NUMBER |
| SP00791 | Other | OH | MEDICARE GROUP NUMBER |
| 2205527 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35078382J (Ohio) | Primary |
| Provider Name | Tae Jung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831153006 PECOS PAC ID: 3577648286 Enrollment ID: I20080305000395 |
Scholastic Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Broadway St Ste 500, East Liverpool, OH 43920 Phone: 412-328-6927 Fax: 877-300-9025 | |
Doctors On Call Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 332 W Sixth St, East Liverpool, OH 43920 Phone: 330-386-6339 Fax: 330-386-1224 | |
Trinity Recovery,llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15898 Saint Clair Ave, East Liverpool, OH 43920 Phone: 724-977-9590 | |
Rekha Parulkar,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 W 6th St, East Liverpool, OH 43920 Phone: 330-385-6566 Fax: 330-386-6191 | |
Jean A Holdren Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16687 St Clair Ave, Suite 108, East Liverpool, OH 43920 Phone: 330-386-5004 Fax: 330-386-6355 | |
Kamlesh K Aggarwal Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 West Sixth St, East Liverpool, OH 43920 Phone: 330-385-7170 Fax: 330-385-6359 |