Active NPI
Sungho Jun MD PC Inc
- Family Medicine Physician
- Alamogordo, NM
National Provider Identifier
1255526216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46-81
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.