S Chungfat MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

123508 Issued in NY

Legal business name

S CHUNGFAT MD PC

Practice address

74 Market Street
Potsdam, NY 13676-1748

Phone

(315) 265-3108

Fax

(315) 265-8290

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shockpin C Chungfat, MD

Title

President

Phone

(315) 265-3108

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher F. Brandy, M.D.P.C.

  • Surgery Physician
  • Ogdensburg, NY
  • NPI 1740371137
  NPD (past)
• Donna M Doyle, NP

  • Adult Health Nurse Practitioner
  • Ogdensburg, NY
  • NPI 1962426486
  NPD (past)
• Karen Anne Galvan, M.D.

  • Surgery Physician
  • Mountain Home, ID
  • NPI 1669635710
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104988732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MARKET STREET",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761748",
            "telephone_number": "315-265-3108",
            "fax_number": "315-265-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MARKET STREET",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761748",
            "telephone_number": "315-265-3108",
            "fax_number": "315-265-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S CHUNGFAT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNGFAT",
        "authorized_official_first_name": "SHOCKPIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-265-3108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "123508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00333082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas C Rulffes, PHARM. D
• Amber L Rusello, LPN
• Leslie N Russek, P.T.
• Nancy Rutledge, NP
• Sherry Ryan, LMHC
• S T Burns Inc
• Saint Lawrence Pathology PLLC
• Roshanak Salehi, MD
• Theresa Wiehagen Samways, LCSW
• Emily Sanchez, RN

• Surgery Physician in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.