Individual provider Active NPI

Allison B Jung, PA-C

  • Medical Physician Assistant
  • Chagrin Falls, OH
National Provider Identifier
1720331333
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9121415 Issued in FL
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

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PA9121415FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covington Express Medical Services, LLC Past Accepting new patients
Metairie Physician Services Inc. PastSince Apr 20, 2014 Accepting new patients
Covington Express Medical Services, LLC Past Accepting new patients
DRS. Jackson and Layne, a Partnership PastSince Oct 1, 2001 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.