Active NPI
Michael Byunghak Chung, MD
- Physical Medicine & Rehabilitation Physician
- Murray, UT
National Provider Identifier
1336364306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 3323301205
- Practice address
- 5810 S 300 E
#300
Murray, UT 84107 - Phone
- (801) 314-2308
- Fax
- (801) 314-2413
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 3323301205 | UT | Primary |
Addresses
Primary practice location
5810 S 300 E
#300
Murray, UT 84107
Mailing address
5810 S 300 E
#300
Murray, UT 84107
Phone (801) 314-2308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3323301205 | Other | UT | PHYSICIAN SURGEON |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3323301205 | UT | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Spine Medicine PC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Salt Lake City, UT
- NPI 1083888457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336364306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5810 S 300 E",
"address_2": "#300",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-314-2308",
"fax_number": "801-314-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 S 300 E",
"address_2": "#300",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-314-2308",
"fax_number": "801-314-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "MICHAEL",
"middle_name": "BYUNGHAK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "3323301205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN SURGEON",
"identifier": "3323301205",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- 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.