Organization Active NPI

John Hung, MD, PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Puyallup, WA
National Provider Identifier
1316079254
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD00046263 Issued in WA
Legal business name
JOHN HUNG, MD, PLLC
Practice address
11212 Sunrise Blvd E
Suite 201
Puyallup, WA 98374-8847
Phone
(253) 446-0750
Fax
(253) 446-0757
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Jennie Lynn Nash
Title
Office Manager
Phone
(253) 446-0750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X MD00046263 WA Primary

Addresses

Primary practice location

11212 Sunrise Blvd E
Suite 201
Puyallup, WA 98374-8847

Mailing address

11212 Sunrise Blvd E
Suite 201
Puyallup, WA 98374-8847
Phone (253) 446-0750

Other identifiers 2

IdentifierTypeStateIssuer
1123140MedicaidWA
1684HUOtherWAREGENCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1316079254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 SUNRISE BLVD E",
            "address_2": "SUITE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748847",
            "telephone_number": "253-446-0750",
            "fax_number": "253-446-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 SUNRISE BLVD E",
            "address_2": "SUITE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748847",
            "telephone_number": "253-446-0750",
            "fax_number": "253-446-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN HUNG, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-446-0750"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WA",
            "license": "MD00046263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123140",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1684HU",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.