Joe S. Chomchai, M.D., P.C.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

4301063374 Issued in MI

Legal business name

JOE S. CHOMCHAI, M.D., P.C.

Practice address

2981 Health Parkway
Suite C
Mount Pleasant, MI 48858

Phone

(989) 772-6848

Fax

(989) 772-6817

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Joe S Chomchai, M.D.

Title

President

Phone

(989) 772-6848

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1366476517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 HEALTH PARKWAY",
            "address_2": "SUITE C",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-6848",
            "fax_number": "989-772-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 HEALTH PARKWAY",
            "address_2": "SUITE C",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-6848",
            "fax_number": "989-772-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE S. CHOMCHAI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "CHOMCHAI",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-772-6848",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "4301063374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4337981",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4645845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Kay Jenkins
• Tristan Jenkins
• Emily S Jennings, CLC
• Renay Jensen
• Edward Jeon, PA
• David Johns, PA
• Britney Elaine Johnson, RN
• Cassandra Jeannine Johnson
• Divah A Johnson
• Lisa A Johnson, RPH

• Otolaryngology/Facial Plastic Surgery Physician in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.