Active NPI
Sook Ok Chung, AP, LAC, NCCAOM, DOM
- Acupuncturist
- Orlando, FL
National Provider Identifier
1487806030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP548
- Practice address
- 4707 Edgewater Drive
Orlando, FL 32804 - Phone
- (407) 521-5565
- Fax
- (407) 521-5565
- NPI assigned
- Oct 15, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP548 | FL | Primary |
Addresses
Primary practice location
4707 Edgewater Drive
Orlando, FL 32804
Mailing address
4707 Edgewater Drive
Orlando, FL 32804
Phone (407) 521-5565
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11996091 | Other | FL | CIGNA |
| 21193360572-01 | Other | FL | BEECHSTREET |
| 730451 | Other | FL | RESERVE NATIONAL |
| 730451 | Other | FL | GREAT WEST HEALTHCARE |
| 7425760 | Other | FL | AETNA |
| C-0584 | Other | FL | BLUECROSS BLUESHEILD |
| 730451 | Other | FL | MEDICAL RESOURCE, LLC |
| 730451 | Other | FL | PREMERA BLUE CROSS |
| 730451 | Other | FL | UNITED HEALTH CARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP548 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1487806030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 EDGEWATER DRIVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32804",
"telephone_number": "407-521-5565",
"fax_number": "407-521-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4707 EDGEWATER DRIVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32804",
"telephone_number": "407-521-5565",
"fax_number": "407-521-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "SOOK",
"middle_name": "OK",
"credential": "AP, LAC, NCCAOM, DOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "11996091",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "21193360572-01",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESERVE NATIONAL",
"identifier": "730451",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE",
"identifier": "730451",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7425760",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHEILD",
"identifier": "C-0584",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL RESOURCE, LLC",
"identifier": "730451",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BLUE CROSS",
"identifier": "730451",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "730451",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.