Active NPI
Allison B Jung, PA-C
- Medical Physician Assistant
- Chagrin Falls, OH
National Provider Identifier
1720331333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9121415
- Practice address
- 17969 Haskins Rd
Chagrin Falls, OH 44023-1613 - Phone
- (985) 705-1081
- NPI assigned
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 14271263-1206 | UT | |
| Medical Physician Assistant | 363AM0700X | 110011733 | VA | |
| Medical Physician Assistant | 363AM0700X | 50.010433 | OH | |
| Medical Physician Assistant | 363AM0700X | 8081901 | ID | |
| Medical Physician Assistant | 363AM0700X | PA0009722 | CO | |
| Medical Physician Assistant | 363AM0700X | 2026006929 | MO | |
| Medical Physician Assistant | 363AM0700X | 11638 | AZ | |
| Medical Physician Assistant | 363AM0700X | 85.012007 | IL | |
| Medical Physician Assistant | 363AM0700X | 2830 | AL | |
| Medical Physician Assistant | 363AM0700X | PA9121415 | FL | Primary |
Addresses
Primary practice location
17969 Haskins Rd
Chagrin Falls, OH 44023-1613
Mailing address
17969 Haskins Rd
Chagrin Falls, OH 44023-1613
Phone (985) 705-1081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9121415 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covington Express Medical Services, LLC | Past | Accepting new patients | |
| Metairie Physician Services Inc. | Past | Accepting new patients | |
| Covington Express Medical Services, LLC | Past | Accepting new patients | |
| DRS. Jackson and Layne, a Partnership | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23442/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Mandeville, LA
- NPI 1285905638
-
- Family Nurse Practitioner
- Covington, LA
- NPI 1396099032
-
- Specialist
- Metairie, LA
- NPI 1629188040
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1720331333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17969 HASKINS RD",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440231613",
"telephone_number": "985-705-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17969 HASKINS RD",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440231613",
"telephone_number": "985-705-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "ALLISON",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "14271263-1206",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "110011733",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.010433",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "8081901",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA0009722",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MO",
"license": "2026006929",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "11638",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "85.012007",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AL",
"license": "2830",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9121415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chagrin Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.