Active NPI
Lance K Cheung, MD
- Physical Medicine & Rehabilitation Physician
- Coos Bay, OR
National Provider Identifier
1457543761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD27715
- Practice address
- 1900 Woodland Dr
Coos Bay, OR 97420-0000 - Phone
- (541) 267-5151
- Fax
- (541) 266-4573
- NPI assigned
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | MD27715 | OR | Primary |
Addresses
Primary practice location
1900 Woodland Dr
Coos Bay, OR 97420-0000
Mailing address
1900 Woodland Dr
Coos Bay, OR 97420-0000
Phone (541) 267-5151
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930635514 | Other | OR | GROUP TAX ID FOR BILLING |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| 1407812365 | Other | OR | GROUP NPI - NBMC |
| 006351 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Creighton University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
Hospital & facility affiliations
- Bay Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27715 | OR | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current | Accepting new patients | |
| North Bend Medical Center Inc | Past | Accepting new patients | |
| North Bend Medical Center Inc | Past | Accepting new patients |
Locations
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
Interoperability endpoints
- lcheung124340@secure.stcharleshealthcare.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
- Diagnostic Radiology Physician
- Coos Bay, OR
- NPI 1063428308
-
- Clinical Medical Laboratory
- Coos Bay, OR
- NPI 1760404396
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1457543761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974200000",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974200000",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUNG",
"first_name": "LANCE",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "MD27715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID FOR BILLING",
"identifier": "930635514",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN NUMBER",
"identifier": "R0000WFBTV",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI - NBMC",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006351",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.