Chung U Chung, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101026927 Issued in VA

Practice address

2595 Victory Blvd
Portsmouth, VA 23702-2315

Phone

(757) 487-4949

Fax

(757) 487-5265

NPI assigned

Jul 7, 2006

Last updated

Nov 29, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chungchung@fcpc.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/2801/brand/1/csg/1/fhir/r4

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

• Churchland Family Medicine PC

  • Family Medicine Physician
  • Portsmouth, VA
  • NPI 1871732784
  NPD
• First Care Collaborative PLLC

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1770190191
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1033142971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE K",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-638-0085",
            "fax_number": "757-686-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 VICTORY BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237022315",
            "telephone_number": "757-487-4949",
            "fax_number": "757-487-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "CHUNG",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101026927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "073346",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shao R Cho, M.D.
• Chosen One Homehealth Care LLC.
• Nam H Chough, MD
• Rebecca D. Christi, M.D.
• Alison Christie, MD
• Raegan Alexandra Chunn, MD
• Thomas Markham Chupp, M.D.
• Tyler Church, D.O.
• Churchland Chiropractic
• Churchland Family Medicine PC

• Family Medicine Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.