NPIMap

Organization Active NPI

Southeast Mo ENT Consultants LTD

  • Otolaryngic Allergy Physician
  • Cape Girardeau, MO
National Provider Identifier
1932154390
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
32408 Issued in MO
Legal business name
SOUTHEAST MO ENT CONSULTANTS LTD
Practice address
150 S Mount Auburn Rd
Ste. 432
Cape Girardeau, MO 63703-4910
Phone
(573) 334-7173
Fax
(573) 334-7185
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher H Jung Sr., M.D.
Title
Owner-Ceo
Phone
(573) 334-7173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0602X 32408 MO Primary

Addresses

Primary practice location

150 S Mount Auburn Rd
Ste. 432
Cape Girardeau, MO 63703-4910

Mailing address

150 S Mount Auburn Rd
Ste. 432
Cape Girardeau, MO 63703-4910
Phone (573) 334-7173

Other names 1

  • DR CHRISTOPHER JUNG Other name

National Provider Directory

National Provider Directory

Locations

150 S Mount Auburn Rd
Ste 432
Cpe Girardeau, MO 63703
Phone (573) 334-7173

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932154390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD",
            "address_2": "STE. 432",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034910",
            "telephone_number": "573-334-7173",
            "fax_number": "573-334-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD",
            "address_2": "STE. 432",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034910",
            "telephone_number": "573-334-7173",
            "fax_number": "573-334-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MO ENT CONSULTANTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER-CEO",
        "authorized_official_telephone_number": "573-334-7173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "MO",
            "license": "32408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR CHRISTOPHER JUNG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.