Diane W Chung MD PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DIANE W CHUNG MD PA

Practice address

3625 University Blvd S
Jacksonville, FL 32216-4207

Phone

(904) 421-2119

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Diane W Chung, MD

Title

President

Phone

(904) 421-2119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1912930595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862056",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164207",
            "telephone_number": "904-421-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE W CHUNG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-421-2119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chritian Cynthia Enguerra Diana, APRN-BC
• Jennifer Lee Diana, PA-C
• Michael Raymond Diana, PA-C
• Diane Brown, O.D. P.a.
• Diane Marie Cates, O.D., P.a.
• Hector Diaz de Villegas, D.O.
• Gerardo Diaz Garcia
• Jeferson Diaz Hernandez
• Kenny Robert Diaz Martinez, FNP-C
• Laura Diaz Martinez

• Anesthesiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.