Active NPI
Thomas M Jung, MD PHD
- Otolaryngology Physician
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 18975
- 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, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64941594 | Medicaid | KY | |
| 2016062 | Medicaid | OH | |
| 0100895000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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, Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33120 | KY | MD | Otolaryngology Physician |
| 35062604J | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems Inc | Otolaryngology | Current | Accepting new patients |
| Valley Health Systems Inc | Otolaryngology | Current | Accepting new patients |
| Valley Health Systems, Inc. | Otolaryngology | Current | Accepting new patients |
| Valley Health Systems Inc | Otolaryngology | Current | Accepting new patients |
| Valley Health Systems, Inc. | Current | 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
- 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.
-
dba Valley Health Hospital Services
- Obstetrics & Gynecology Physician
- Huntington, WV
- NPI 1184699415
OH, Otolaryngology
-
dba Valley Health Otolaryngology
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1366897720
Otolaryngology
-
- Clinical Medical Laboratory
- Huntington, WV
- NPI 1023083854
-
dba Valley Health Hurricane
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1225154206
Otolaryngology
-
dba Cabell Midland Health Center
- Federally Qualified Health Center (FQHC)
- Ona, WV
- NPI 1417923236
Otolaryngology
-
dba Valley Health Highlawn
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1902962368
Otolaryngology
-
- Federally Qualified Health Center (FQHC)
- Huntington, WV
- NPI 1508720913
-
dba Grant Medical Center
- Family Medicine Physician
- Milton, WV
- NPI 1891775557
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cabell Huntington Hospital
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.