Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pauline Phung, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649850207

Pauline Phung, DO is an Emergency Medicine in Boardman, Ohio. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2021, 5 years ago. Practices with St Jude Emergency Medical Group Inc, a 20-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
OH
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8401 Market St
Boardman, OH 44512-6725
Phone: (330) 729-7960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 667 Eastland Ave Se, Warren, OH 44484-4503 — (330) 729-7960
  • 1044 Belmont Ave, Youngstown, OH 44504-1006 — (330) 729-7960

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 58.032248 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649850207
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 8, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021
Mailing address21845 Heatheridge Dr, Yorba Linda, CA 92887-2614

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2021 (5 years in practice)
Group practice St Jude Emergency Medical Group Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Boardman