Sungho Jun, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9681 Issued in NM

Practice address

2559 Medical Dr
Ste B
Alamogordo, NM 88310-8703

Phone

(505) 437-8828

Fax

(505) 437-4122

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Otero County Hospital Association

  • Community/Retail Pharmacy
  • Alamogordo, NM
  • NPI 1235948803
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192838400000",
    "number": "1548358146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 MEDICAL DR",
            "address_2": "STE 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": "STE B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108703",
            "telephone_number": "505-437-8828",
            "fax_number": "505-437-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUN",
        "first_name": "SUNGHO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "9681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P3209",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1201",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Snyder, D.D.S. P.C.
• Eglenna Jannah Terry Josselyn
• Rhonda Faye Joubert
• Monique Juan
• Amanda Juarez
• William J. Kafka, MD
• Corin Jean Kalinowski Picchi
• Kyle Kamal, DPT
• Zinnia N Kamal, DPT
• Delmar Kampe, DO

• Family Medicine Physician in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Family Medicine Physician in New Mexico

• 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.