Active NPI
Kenneth Aung-Din, MD
- Emergency Medicine Physician
- Jacksonville, FL
National Provider Identifier
1003912759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0051923
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (904) 399-6811
- Fax
- (904) 346-0113
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0051923 | FL | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
PO Box 860554
Orlando, FL 32886-0554
Phone (904) 346-3606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00777807A | Medicaid | GA | |
| 10718 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0051923 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Lighthouse Point, FL
- NPI 1831531581
Emergency Medicine
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1083046049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003912759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860554",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328860554",
"telephone_number": "904-346-3606",
"fax_number": "904-346-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-399-6811",
"fax_number": "904-346-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUNG-DIN",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0051923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00777807A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10718",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.