Dong S Chung, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35044318 Issued in OH

Practice address

335 Glessner Ave
Mansfield, OH 44903-2269

Phone

(419) 526-8768

Fax

(419) 522-4697

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medcentral Professional Association Inc.

  • Anesthesiology Physician
  • Mansfield, OH
  • NPI 1306878863
  NPD (past)
• Medcentral Professional Foundation, LLC

  • Facial Plastic Surgery Physician
  • Mansfield, OH
  • NPI 1841476942
  NPD (past)
• Parsons Walk-in Clinic

  • Primary Care Clinic/Center
  • Ruskin, FL
  • NPI 1194982447

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205922325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032225",
            "telephone_number": "419-526-8768",
            "fax_number": "419-522-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-526-8768",
            "fax_number": "419-522-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DONG",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35044318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460746",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choices Personal Lifestyle Management
• Choices/Care Companions, LLC
• Bohdan Wolodymyr Chopko, PHD MD
• Michele M Christie, CMS
• Rebeccah Christopherson
• Elizabeth Chung, M.D.
• Lisa Ming Chung, M.D.
• Jeannitta Church
• Shawna Rochelle Church, PT
• City Care Counseling Center

• Family Medicine Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.