Individual provider Active NPI

Chau Uong, DO

  • Physical Medicine & Rehabilitation Physician
  • Carrollton, TX
National Provider Identifier
1134461320
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R1897 Issued in TX
Practice address
4541 N Josey LN Ste 230
Carrollton, TX 75010-4781
Phone
(214) 506-0904
Fax
(888) 366-2632
NPI assigned
Mar 26, 2013
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X R1897 TX
Physical Medicine & Rehabilitation Physician 208100000X R1897 TX Primary

Addresses

Primary practice location

4541 N Josey LN Ste 230
Carrollton, TX 75010-4781

Mailing address

4541 N Josey LN Ste 230
Carrollton, TX 75010-4781
Phone (214) 641-5777

Other identifiers 1

IdentifierTypeStateIssuer
1A2979OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R1897TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center CurrentSince Dec 11, 2019 Accepting new patients
Memorial Medical Center CurrentSince Dec 11, 2019 Accepting new patients
Memorial Medical Center Current Accepting new patients
Citizens Medical Center County of Victoria Interventional Pain Medicine Past Accepting new patients

Locations

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1134461320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 230",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104781",
            "telephone_number": "214-641-5777",
            "fax_number": "888-366-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 230",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104781",
            "telephone_number": "214-506-0904",
            "fax_number": "888-366-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UONG",
        "first_name": "CHAU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R1897",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R1897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1A2979",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.