Active NPI
Taekhwan Chung, MD, FRCSC
- Student in an Organized Health Care Education/Training Program
- Cleveland, OH
National Provider Identifier
1184537680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.