TAE JUNG M.D., INC.
NPI 1306021878
Family Medicine in East Liverpool, OH

Active since January 03, 2008CLIA 36D1000943 · Microscopy
15424 SPRUCEVALE RD, EAST LIVERPOOL, OH 43920(330) 382-0388(330) 382-0389 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tae Jung M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAE JUNG M.D., INC. (NPI 1306021878) is a healthcare organization registered as a family medicine in East Liverpool, Ohio and active in the NPI registry since January 2008. The organization holds a CLIA Microscopy certificate valid through June 25, 2028 and lists Tae Hui Jung, President, as its authorized official.

NPPES Registry Identity

NPI1306021878
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTAE JUNG M.D., INC.
Location Address15424 SPRUCEVALE RDEast Liverpool, OH 43920-9200
Mailing Address15424 Sprucevale RdEast Liverpool, OH 43920-9200 · (330) 382-0388 · Fax (330) 382-0389
Fax(330) 382-0389
Organization SubpartNo
Authorized OfficialTae Hui JungPresident · (330) 382-0388
Enumeration DateJanuary 3, 2008
Last NPPES UpdateDecember 13, 2013
NPI 1306021878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35078382J
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15424 SPRUCEVALE RD, East Liverpool, OH 43920

Other Identifiers 4

Medicare UPINH27815OH
OtherSP00791OH · Medicare Group Number
Medicaid2205527OH
Other1306021878OH · Npi Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D1000943

Tae Jung MD Inc · East Liverpool, OH
Active · expires Jun 25, 2028
CLIA Number36D1000943
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorTae H. Jung
Laboratory Phone(330) 382-0388
Laboratory LocationTae Jung MD Inc15424 Sprucevale Rd, East Liverpool, OH 43920
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
15424 SPRUCEVALE RD
EAST LIVERPOOL, OH 43920

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tae Jung M.D., Inc.'s NPI number?

The NPI number for Tae Jung M.D., Inc. is 1306021878. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Tae Jung M.D., Inc. located?

Tae Jung M.D., Inc. is located at 15424 Sprucevale Rd, East Liverpool, OH 43920. The listed phone number is (330) 382-0388.

What is Tae Jung M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Tae Jung M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D1000943) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tae Jung M.D., Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Highmark Blue Cross Blue Shield West Virginia list Tae Jung M.D., Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tae Jung M.D., Inc. was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.