Individual provider Active NPI

Haeoh M Jung, MD

  • Anesthesiology Physician
  • York, PA
National Provider Identifier
1275518573
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD058147L Issued in PA
Practice address
325 S Belmont St
York, PA 17403-2608
Phone
(717) 843-8623
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD058147L PA Primary

Addresses

Primary practice location

325 S Belmont St
York, PA 17403-2608

Mailing address

930 Hillcrest Dr
Kinzers, PA 17535-9620
Phone (215) 858-0203

Other identifiers 1

IdentifierTypeStateIssuer
001625437MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20051130000377 PA Practitioner - Anesthesiology 8527088905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Pittsburgh School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntingdon Valley Anesthesia AssociatesGroup PAC ID 6406742642, 44 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-3413

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD058147LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Delaware, LLC Anesthesiology CurrentSince Dec 1, 2020 Accepting new patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince Mar 28, 2022 Accepting new patients
Huntingdon Valley Anesthesia Associates CurrentSince Aug 20, 2020 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Mar 22, 2021 Accepting new patients
Blair County Anesthesia, P.C. Anesthesiology Past Accepting new patients
James F Noone MD PC Past Accepting new patients
Lexington Anesthesia Associates, Inc. Past Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients
Liberty Anesthesia Associates, P. C. Past Accepting new patients

Locations

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 313
Meadowbrook, PA 19046
Phone (215) 938-3413

2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1275518573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 HILLCREST DR",
            "city": "KINZERS",
            "state": "PA",
            "postal_code": "175359620",
            "telephone_number": "215-858-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S BELMONT ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032608",
            "telephone_number": "717-843-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "HAEOH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD058147L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001625437",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.