Organization Active NPI

Chung Hyun Oh MD PC

  • Surgery Physician
  • Auburn, NY
National Provider Identifier
1386827178
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
111469 Issued in NY
Legal business name
CHUNG HYUN OH MD PC
Practice address
26 Seminary Ave
Auburn, NY 13021-2633
Phone
(315) 252-2752
Fax
(315) 262-6409
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Chung Hyun Oh, MDNPI 1376634360
Title
President
Phone
(315) 252-2752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 111469 NY Primary

Addresses

Primary practice location

26 Seminary Ave
Auburn, NY 13021-2633

Mailing address

26 Seminary Ave
Auburn, NY 13021-2633
Phone (315) 252-2752

Other identifiers 1

IdentifierTypeStateIssuer
00584634MedicaidNY

National Provider Directory

National Provider Directory

Locations

26 Seminary Ave
Auburn, NY 13021
Phone (315) 252-2752

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1386827178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SEMINARY AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212633",
            "telephone_number": "315-252-2752",
            "fax_number": "315-262-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SEMINARY AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212633",
            "telephone_number": "315-252-2752",
            "fax_number": "315-262-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG HYUN OH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-252-2752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "111469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00584634",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.