Individual provider Active NPI

Thomas M Jung, MD PHD

  • Otolaryngology Physician
  • Huntington, WV
National Provider Identifier
1851360879
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
18975 Issued in WV
Practice address
#3 Stonecrest Dr
Huntington, WV 25701
Phone
(304) 522-6388
Fax
(304) 522-8040
NPI assigned
Mar 14, 2006
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 18975 WV Primary
Otolaryngology Physician 207Y00000X 35062604J OH
Otolaryngology Physician 207Y00000X 33120 KY

Addresses

Primary practice location

#3 Stonecrest Dr
Huntington, WV 25701

Mailing address

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

Other identifiers 3

IdentifierTypeStateIssuer
64941594MedicaidKY
2016062MedicaidOH
0100895000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100706000573 WV Practitioner - Otolaryngology 1456375344 Reassigns benefits to 2 organizations
I20120307000719 OH Practitioner - Otolaryngology 1456375344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Iowa, RJ & L Carver College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

3 Stonecrest Dr
Huntington, WV 25701-9392
Phone (304) 522-6388

5897 County Rd
Suite 107
Proctorville, OH 45669-8852
Phone (740) 886-9911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33120KYMDOtolaryngology Physician
35062604JOHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Otolaryngology CurrentSince Sep 1, 2016 Accepting new patients
Valley Health Systems Inc Otolaryngology Current Accepting new patients
Valley Health Systems, Inc. Otolaryngology CurrentSince Oct 29, 2016 Accepting new patients
Valley Health Systems Inc Otolaryngology Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Valley Health Systems Inc Otolaryngology Current Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

3 Stonecrest Dr
Huntington, WV 25701
Phone (304) 522-6388

Interoperability endpoints

  • Direct secure messaging: tjung20443@valleyhealthsystems.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1851360879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#3 STONECREST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-522-6388",
            "fax_number": "304-522-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "18975",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35062604J",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "33120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64941594",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016062",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100895000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.