Active NPI
Greg Jung, CRNA
- Certified Registered Nurse Anesthetist
- Pierre, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R014413
- Practice address
- 100 Mack Lane
Medical Associates Clinic,LLP
Pierre, SD 57501 - Phone
- (605) 224-5901
- Fax
- (605) 945-5296
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R014413 | SD | Primary |
Addresses
Primary practice location
100 Mack Lane
Medical Associates Clinic,LLP
Pierre, SD 57501
Mailing address
100 Mack Lane
Medical Associates Clinic,LLP
Pierre, SD 57501
Phone (605) 224-5901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901
Hospital & facility affiliations
- Avera St Mary'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R014413 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St Marys | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Avera Gettysburg | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Pediatric Hematology Clinic LTD | Past | Accepting new patients | |
| Pediatric Hematology Oncology Pharmacy LTC | Past | Accepting new patients |
Locations
100 Mac Ln
Pierre, SD 57501
Phone (605) 224-5901
800 E Dakota Ave
Pierre, SD 57501
Phone (605) 224-3100
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Pierre, SD
- NPI 1669457180
-
- Critical Access Hospital
- Gettysburg, SD
- NPI 1003887266
-
- Emergency Medicine Physician
- Pierre, SD
- NPI 1073305496
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Pierre, SD
- NPI 1720326713
-
- Pediatric Hematology & Oncology Physician
- Sioux Falls, SD
- NPI 1003956343
-
- Pharmacy
- Sioux Falls, SD
- NPI 1952436099
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pierre, SD
- NPI 1669457180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386671253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MACK LANE",
"address_2": "MEDICAL ASSOCIATES CLINIC,LLP",
"city": "PIERRE",
"state": "SD",
"postal_code": "57501",
"telephone_number": "605-224-5901",
"fax_number": "605-945-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MACK LANE",
"address_2": "MEDICAL ASSOCIATES CLINIC,LLP",
"city": "PIERRE",
"state": "SD",
"postal_code": "57501",
"telephone_number": "605-224-5901",
"fax_number": "605-945-5296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "GREG",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "R014413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.