Andrea Jungwirth, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301029308 Issued in MI

Practice address

1211 Minglewood Way
Ann Arbor, MI 48103-3002

Phone

(734) 663-2808

Fax

(734) 665-6244

NPI assigned

Nov 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1235311408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MINGLEWOOD WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033002",
            "telephone_number": "734-663-2808",
            "fax_number": "734-665-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MINGLEWOOD WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033002",
            "telephone_number": "734-663-2808",
            "fax_number": "734-665-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGWIRTH",
        "first_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301029308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "4301029308",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Richard Junck, MD
• Celeste Juneac
• Soong-Ryong Jung, DDS
• Sun Min Jung, PHARM.D.
• Zachary Charles Junga, MD
• Juniper Group Co, LLC
• Juniper North Health PLLC
• Sarinee Juntipwong, MD
• Kathleen Paige Jurevicius, MA, CCC-SLP
• Tomasz Jurga, PHARMD

• Physical Medicine & Rehabilitation Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.