Allan J Parungao, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

36-103048 Issued in IL

Practice address

17645 Wright St
Omaha, NE 68130-2034

Phone

(308) 383-0914

Fax

(708) 406-0750

NPI assigned

Feb 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Parungao Plastic Surgery, SC

  • Plastic and Reconstructive Surgery Physician
  • Oak Brook, IL
  • NPI 1447382569
  NPD (past) Authorized official

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1750356234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17645 WRIGHT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302034",
            "telephone_number": "308-383-0914",
            "fax_number": "708-406-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17645 WRIGHT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302034",
            "telephone_number": "308-383-0914",
            "fax_number": "708-406-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUNGAO",
        "first_name": "ALLAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NE",
            "license": "34882",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "36-103048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Partida
• Sergio Partida
• Yaneli Partida, PA-C
• Sharon Partridge
• Sharon Kay Partusch Owen, LMHP, LADC
• Angel Paryar
• Karen Anne Paschal, PT
• Sandra Kay Pasco-Armstrong, PLADC
• Maria Pascual
• Mariana Francisco Pascual

• Specialist in Omaha, NE
• Providers in Omaha, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.