Organization Active NPI

Stanely Chung, M.D.,P.a.

  • Specialist
  • Frederick, MD
National Provider Identifier
1285812503
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0050309 Issued in MD
Legal business name
STANELY CHUNG, M.D.,P.A.
Practice address
187 Thomas Johnson Dr Ste 1
Frederick, MD 21702-4396
Phone
(301) 663-0131
Fax
(301) 698-9449
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Stanley Y Chung
Title
M.D.
Phone
(301) 663-0131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0050309 MD Primary

Addresses

Primary practice location

187 Thomas Johnson Dr Ste 1
Frederick, MD 21702-4396

Mailing address

187 Thomas Johnson Dr Ste 1
Frederick, MD 21702-4445
Phone (301) 663-0131

Other identifiers 1

IdentifierTypeStateIssuer
5522404400MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1285812503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 THOMAS JOHNSON DR STE 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024445",
            "telephone_number": "301-663-0131",
            "fax_number": "301-698-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 THOMAS JOHNSON DR STE 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024396",
            "telephone_number": "301-663-0131",
            "fax_number": "301-698-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANELY CHUNG, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "301-663-0131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0050309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5522404400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.