Organization Active NPI

Sungho Jun MD PC Inc

  • Family Medicine Physician
  • Alamogordo, NM
National Provider Identifier
1255526216
Registry record updated Oct 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46-81 Issued in NM
Legal business name
SUNGHO JUN MD PC INC
Practice address
2559 Medical Dr
Suite B
Alamogordo, NM 88310-8703
Phone
(505) 437-8828
Fax
(505) 437-4122
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2007

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

Authorized official

Name
Sungho Jun, MD
Title
Medical Doctor
Phone
(505) 437-8828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 46-81 NM Primary

Addresses

Primary practice location

2559 Medical Dr
Suite B
Alamogordo, NM 88310-8703

Mailing address

2559 Medical Dr
Suite B
Alamogordo, NM 88310-8703
Phone (505) 437-8828

National Provider Directory

National Provider Directory

Locations

2559 Medical Dr
Ste B
Alamogordo, NM 88310
Phone (505) 437-8828

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192838400000",
    "number": "1255526216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 MEDICAL DR",
            "address_2": "SUITE B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108703",
            "telephone_number": "505-437-8828",
            "fax_number": "505-437-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 MEDICAL DR",
            "address_2": "SUITE B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108703",
            "telephone_number": "505-437-8828",
            "fax_number": "505-437-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGHO JUN MD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-10-20",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "SUNGHO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "505-437-8828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "46-81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.