Active NPI
Jennifer Ko Jung, M.D.
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R4405
- Practice address
- 1315 St Joseph Pkwy Ste 806
Houston, TX 77002-8230 - Phone
- (713) 756-4780
- NPI assigned
- Jun 19, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27955 | OK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | R4405 | TX | Primary |
Addresses
Primary practice location
1315 St Joseph Pkwy Ste 806
Houston, TX 77002-8230
Mailing address
1315 St Joseph Pkwy Ste 806
Houston, TX 77002-8230
Phone (713) 650-6556
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman MD Provider Inc | Family Medicine | Current | Accepting new patients |
| Sherman MD Provider Inc | Current | Accepting new patients | |
| Sherman MD Provider Inc | Family Medicine | Current | Accepting new patients |
Locations
1315 St Joseph Pkwy
Ste 806
Houston, TX 77002
Phone (713) 650-1900
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094
1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244
Interoperability endpoints
- jennifer.jung.1@19036.direct.athenahealth.com
Organizations & group practices 3
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 Medicine Physician
- Sherman, TX
- NPI 1841696846
-
- Anesthesiology Physician
- Houston, TX
- NPI 1871476309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1811218290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 ST JOSEPH PKWY STE 806",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028230",
"telephone_number": "713-650-6556",
"fax_number": "713-650-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 ST JOSEPH PKWY STE 806",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028230",
"telephone_number": "713-756-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "JENNIFER",
"middle_name": "KO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-19",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "27955",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.