Shawn Chong, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C06161 Issued in MD

Practice address

18109 Prince Philip Dr
Suite 300
Olney, MD 20832-1519

Phone

(301) 570-8554

NPI assigned

Jul 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1023461951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 WOODGLEN DR APT 424",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208526014",
            "telephone_number": "240-701-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR",
            "address_2": "SUITE 300",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321519",
            "telephone_number": "301-570-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "SHAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C06161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Chillari, DMD
• Anthony Chite, RPH
• Jihoon John Choi, MD
• Shawn Choi
• Choice Pain & Rehabilitation Center, LLC
• Amy E Christianson, LCSW-C
• Maislyn Annmarie Christie, M.D.
• Christopher J. Mays, M.D., L.L.C.
• Chrosniak ,Schwartzbauer & Mehta MD PA
• Cynthia G. Chrosniak, M.D.

• Surgical Physician Assistant in Olney, MD
• Providers in Olney, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.