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GLENN E JUNG MD NPI 1548240138


NPI Information

NPI: 1548240138
Provider Name: GLENN E JUNG, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

PECOS Registration: Yes

Address:
2001 LAUREL AVE
SUITE N304
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-9484
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Glenn E Jung, MD is a body imaging radiology in Knoxville, TN with 34 years of experience. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Glenn E Jung, MD NPI is 1548240138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1990

The provider's business location address is:

2001 LAUREL AVE
SUITE N304
KNOXVILLE, TN
ZIP 37916-810
Phone: (865) 546-9484

The NPI 1548240138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 4/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology26858TENNESSEENo
22085B0100XRadiologyBody ImagingMD26858TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13372353MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.