Dong Ha Chung, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12734 Issued in SC

Practice address

402 Burris Rd
Florence, SC 29501-5425

Phone

(843) 992-3766

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487857645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BURRIS RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015425",
            "telephone_number": "843-992-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BURRIS RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015425",
            "telephone_number": "843-992-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DONG",
        "middle_name": "HA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "12734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127348",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aneta Chorzepa - Kania, MD
• Deepak Chowdhary, MD
• Christian Home Care LLC
• Stephen R Christian, MD
• Christos Integrated Health and Wellness
• Vicki Chung, D.M.D.
• Yvonne Brantley Church, NP
• Amanda Rae Cieluch, APRN
• Circlepark Behavioral Health Serices
• Jamie Nichole Clapacs

• Psychiatry Physician in Florence, SC
• Providers in Florence, SC by specialty
• Psychiatry Physician in South Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.