Jacob Chun MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

L9146 Issued in TX

Legal business name

JACOB CHUN MD PA

Practice address

4221 Ridgecrest Rd
Suite101
Greenville, TX 75402-6017

Phone

(903) 455-0300

Fax

(903) 455-0301

NPI assigned

Apr 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob Chun, MDNPI 1033194246

Title

Owner

Phone

(903) 455-0300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hunt Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Chun, MD

  • Orthopaedic Surgery Physician
  • Greenville, TX
  • NPI 1033194246
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1033435243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 WELLINGTON ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754014945",
            "telephone_number": "903-455-0300",
            "fax_number": "903-455-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD",
            "address_2": "SUITE101",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026017",
            "telephone_number": "903-455-0300",
            "fax_number": "903-455-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB CHUN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-455-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L9146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP. NUMBER",
            "identifier": "0077TM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722159-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunt Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hunt Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Nicole Isham, RN, FNP-C
• Jack M Thomas MD PLLC
• Darrelle Jackson
• Erica Kay Jackson
• Vallon Jackson, LPC
• Abdul Jalil, MD
• Zohora Binte Jalil, MD
• Shahram Jamalabadi, DC
• Hajra Jamil, MD
• JCK Homes

• Orthopaedic Surgery Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.