Individual provider Active NPI

Jung J Noh, M.D.

  • Allergy & Immunology Physician
  • Irving, TX
National Provider Identifier
1053505966
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
E-3076 Issued in TX
Practice address
2001 N Macarthur Blvd
Suite #340
Irving, TX 75061-2222
Phone
(972) 259-3511
NPI assigned
Sep 4, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X E-3076 TX Primary

Addresses

Primary practice location

2001 N Macarthur Blvd
Suite #340
Irving, TX 75061-2222

Mailing address

2001 N Macarthur Blvd
Suite #340
Irving, TX 75061-2222
Phone (972) 259-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000872 TX Practitioner - Allergy/Immunology 2163683277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1968
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 N Macarthur Blvd
Suite 340
Irving, TX 75061-2253
Phone (972) 259-3511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-3076TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jung J. Noh,M.D. Assoc. Allergy & Immunology CurrentSince Feb 8, 2012 Accepting new patients

Locations

2001 N MacArthur Blvd
Ste 340
Irving, TX 75061
Phone (972) 259-3511

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1053505966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD",
            "address_2": "SUITE #340",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612222",
            "telephone_number": "972-259-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N MACARTHUR BLVD",
            "address_2": "SUITE #340",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612222",
            "telephone_number": "972-259-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOH",
        "first_name": "JUNG",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "E-3076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.