Individual provider Active NPI

Harry H Jung III, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1740224674
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
F9639 Issued in TX
Practice address
13601 Preston Rd
Suite 1000W
Dallas, TX 75240-4911
Phone
(972) 715-5000
NPI assigned
Jun 14, 2006
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X F9639 TX Primary

Addresses

Primary practice location

13601 Preston Rd
Suite 1000W
Dallas, TX 75240-4911

Mailing address

PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5000

Other identifiers 13

IdentifierTypeStateIssuer
P00771266OtherRAILROAD
1740224674MedicaidMI
896865OtherTXBCBS
05009011831OtherMIBCBS
114735702MedicaidTX
8AS966OtherTXBCBS
114735709MedicaidTX
8CI338OtherTXBCBS
PENDINGMedicaidNM
114735711MedicaidTX
8BX904OtherTXBCBS
8CF244OtherTXBCBS
P00720532OtherRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000133 TX Practitioner - Anesthesiology 4385640242 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54860CAMDPharmacist
F9639TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Anesthesiology CurrentSince Aug 15, 2019 Accepting new patients
Utmb Faculty Group Practice Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Harry H Jung III MD PA Anesthesiology PastSince May 1, 2008 Accepting new patients
Balcones Anesthesiologists, P.a. Anesthesiology Past Accepting new patients
Hale County Anesthesia Associates, PLLC Anesthesiology PastSince Sep 1, 2013 Accepting new patients
Waxahachie Anesthesia Consultant Services PA Anesthesiology Past Accepting new patients
River City Anesthesia Associates, PLLC Anesthesiology PastSince Sep 23, 2013 Accepting new patients
Oakwood Anesthesia Associates Anesthesiology Past Accepting new patients
King County Anesthesia Associates PLLC Anesthesiology PastSince Oct 1, 2013 Accepting new patients
Katy West Houston Anesthesia PA Anesthesiology Past Accepting new patients
Seven Flags Anesthesia Associates, PLLC Anesthesiology PastSince Sep 1, 2013 Accepting new patients
South Arlington Surgical Providers, LLC PastSince Jan 5, 2020 Accepting new patients
California Anesthesia Providers a Medical Corporation Anesthesiology PastSince Jun 1, 2014 Accepting new patients

Locations

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Interoperability endpoints

  • Direct secure messaging: hjung457171@direct.stlukeshealth.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1740224674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650426",
            "telephone_number": "972-715-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD",
            "address_2": "SUITE 1000W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-715-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "HARRY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "F9639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00771266",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740224674",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "896865",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05009011831",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114735702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AS966",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114735709",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CI338",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114735711",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BX904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CF244",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00720532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.