Tae H Jung, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35078382J Issued in OH

Practice address

15424 Sprucevale Rd
East Liverpool, OH 43920-9200

Phone

(330) 382-0388

Fax

(330) 382-0389

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

Wayne State University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Liverpool City Hospital Hospital, East Liverpool, OH, CCN 360096
• Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
• Salem Regional Medical Center Hospital, Salem, OH, CCN 360185
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
• Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Tae Jung M.D., Inc.

  • Family Medicine Physician
  • East Liverpool, OH
  • NPI 1306021878
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Salem Community Hospital

  • General Acute Care Hospital
  • Salem, OH
  • NPI 1639131535
  Care Compare affiliation
• Salem Community Hospital

  • Radiology Clinic/Center
  • Calcutta, OH
  • NPI 1750227377

  Hospital

  Care Compare affiliation
• The City Hospital Association

  • General Acute Care Hospital
  • East Liverpool, OH
  • NPI 1659375673
  Care Compare affiliation
• Trinity Hospital Holding Company

  • General Acute Care Hospital
  • Steubenville, OH
  • NPI 1285715144
  Care Compare affiliation
• Valley Medical Facilities Inc

  • General Acute Care Hospital
  • Beaver, PA
  • NPI 1063422053
  Care Compare affiliation
• Valley Medical Facilities, Inc.

  • General Acute Care Hospital
  • Beaver Falls, PA
  • NPI 1306989983
  Care Compare affiliation
• Valley Medical Facilities, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sewickley, PA
  • NPI 1528101458

  Hospital

  Care Compare affiliation
• Weirton Medical Center, Inc

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1831153006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15424 SPRUCEVALE RD",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209200",
            "telephone_number": "330-382-0388",
            "fax_number": "330-382-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15424 SPRUCEVALE RD",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209200",
            "telephone_number": "330-382-0388",
            "fax_number": "330-382-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "TAE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35078382J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather D Jordan, MSN RN
• Jennifer Joseph, APRN.CNP
• Luke Joseph, D.O.
• Lyndsey Derae Joseph, MSN, PMHNP-BC
• Anna Catherine Judge, LPCC
• Desiree Jungfleisch, MSN, FNP-C
• Syeda Duaa Kamal, M.D.
• Kamlesh K Aggarwal MD Inc
• Derrek Daeyool Kang, MD
• Heidi M Katabi-Kekel, LPCC-S

• Family Medicine Physician in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.