Tun Lin Aung
Individual provider Active NPI Adult Health Nurse Practitioner · Danvers, MA
NPI 1083367775 · NPPES record last updated Feb 2, 2022
Key facts
- NPI
- 1083367775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 2284550 (MA)
- Practice address
- 75 Sylvan St
Danvers, MA 01923-2763 - Phone
- (978) 774-7566
- NPI assigned
- Feb 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220718001954 | MA | Practitioner - Nurse Practitioner | 7911393277 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2284550 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Dimensions, Inc. | Single Specialty | Current |
Accepting new patients |
| Care Dimensions, Inc. | Single Specialty | Current |
Accepting new patients |
Locations
78 Liberty St
Danvers, MA 01923
Phone (978) 223-9760
75 Sylvan St
Ste B102
Danvers, MA 01923
Phone (888) 283-1722
Interoperability endpoints
- https://app.meldrx.com/api/fhir/caredimensions
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | 2284550 | MA | Yes |
Addresses
Primary practice location
75 Sylvan St
Danvers, MA 01923-2763
Mailing address
75 Sylvan St
Danvers, MA 01923-2763
Phone (978) 774-7566
Other providers in Danvers, MA
- Mary Catherine Aston
- Donovan Richard Atwood
- Jill Atwood
- Kaitlyn Aughinbaugh
- Melissa Ann Augusta
- Aurora Breast MRI at Beverly Hospital, LLC
- Aurora Healing and Recovery for Women LLC
- Judy Roy Austin
- Rico Francis Autori
- Thelma Avanessian
All providers in Danvers, MA · Adult Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.