Individual provider Active NPI

Kum-Jung Joseph Amrine I, DO

  • Internal Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1972358554
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58.034384 Issued in OH
Practice address
4439 State Route 159 Ste 150
Chillicothe, OH 45601-7833
Phone
(740) 779-7070
Fax
(740) 779-8449
NPI assigned
Apr 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58.034384 OH Primary

Addresses

Primary practice location

4439 State Route 159 Ste 150
Chillicothe, OH 45601-7833

Mailing address

131 E Main St
Chillicothe, OH 45601-2553
Phone (240) 246-6539

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250225003237 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1355861063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
58.034384OHMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: kamrine1215989@direct.osumc.edu

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1972358554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012553",
            "telephone_number": "240-246-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE 150",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017833",
            "telephone_number": "740-779-7070",
            "fax_number": "740-779-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRINE",
        "first_name": "KUM-JUNG",
        "middle_name": "JOSEPH",
        "name_suffix": "I",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58.034384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.