Individual provider Active NPI

Taekhwan Chung, MD, FRCSC

  • Student in an Organized Health Care Education/Training Program
  • Cleveland, OH
National Provider Identifier
1184537680
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2050 E 96TH St BLDG Q
Cleveland, OH 44106-2970
Phone
(216) 372-6873
NPI assigned
Sep 24, 2026
Last updated
Oct 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

2050 E 96TH St BLDG Q
Cleveland, OH 44106-2970

Mailing address

2050 E 96TH St BLDG Q
Cleveland, OH 44106-2970

Other practice location 1

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (216) 372-6873

Other practice location 2

6780 Mayfield Rd
Cleveland, OH 44124-2203
Phone (216) 372-6873

Other practice location 3

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 372-6873

Other names 1

  • Dr. David Chung Other name

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791676800000",
    "number": "1184537680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E 96TH ST BLDG Q",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E 96TH ST BLDG Q",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062970",
            "telephone_number": "216-372-6873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33300 Cleveland Clinic Blvd",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "OH",
            "postal_code": "440111172",
            "country_code": "US",
            "telephone_number": "216-372-6873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6780 Mayfield Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441242203",
            "country_code": "US",
            "telephone_number": "216-372-6873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-372-6873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "TAEKHWAN",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-10-11",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "CHUNG",
            "prefix": "DR.",
            "credential": "MD, FRCSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.