Active NPI
Ernest Chung MD & Associates PA
- Primary Care Clinic/Center
- Saint Cloud, FL
National Provider Identifier
1124043013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME83366
- Legal business name
- ERNEST CHUNG MD & ASSOCIATES PA
- Practice address
- 2920 17TH St
Saint Cloud, FL 34769-6018 - Phone
- (407) 892-5856
- Fax
- (407) 892-5885
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ernest Chung, M.D.
- Title
- President
- Phone
- (407) 892-5856
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME83366 | FL | Primary |
Addresses
Primary practice location
2920 17TH St
Saint Cloud, FL 34769-6018
Mailing address
2920 17TH St
Saint Cloud, FL 34769-6018
Phone (407) 892-5856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262909700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2920 17th St
Saint Cloud, FL 34769
Phone (321) 284-3723
3008 17th St
Saint Cloud, FL 34769
Phone (407) 892-5856
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Cloud, FL
- NPI 1265404735
-
- Family Medicine Physician
- Saint Cloud, FL
- NPI 1144469107
-
- Infectious Disease Physician
- Kissimmee, FL
- NPI 1043311707
-
- Internal Medicine Physician
- Avon Park, FL
- NPI 1568457422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1124043013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 17TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696018",
"telephone_number": "407-892-5856",
"fax_number": "407-892-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 17TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696018",
"telephone_number": "407-892-5856",
"fax_number": "407-892-5885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERNEST CHUNG MD & ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "ERNEST",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-892-5856",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME83366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262909700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.