Chan S Hwang, MD, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD00035834 Issued in WA

Legal business name

CHAN S HWANG, MD, PLLC

Practice address

126 15TH St SE
Puyallup, WA 98372-3409

Phone

(253) 229-0580

NPI assigned

Feb 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Chan S Hwang, M.D.NPI 1861486367

Title

Physician Manager

Phone

(253) 229-0580

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakewood Electrodiagnosis and Physiatry Other name

Locations

Practitioners 1

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

• Chan Sun Hwang, MD

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Lakewood, WA
  • NPI 1861486367
  NPD (past) Authorized official

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1487928099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 15TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723409",
            "telephone_number": "253-229-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 15TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723409",
            "telephone_number": "253-229-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN S HWANG, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "CHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN MANAGER",
        "authorized_official_telephone_number": "253-229-0580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00035834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR AND INDUSTRIES",
            "identifier": "0150123",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114321",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Electrodiagnosis and Physiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Guillermo Enrique Chacon, D.D.S.
• Jessaryn Chahalis, CPO
• Darick Gongqing Chai
• Kyle Richard Chambers
• Ryan Justin Chambers
• Chance D. Gallo
• Chanceaba LLC
• Jonathan L Chang, MD
• Tracy Chang, MD
• Sinard Chao, PHARMD

• Medical Specialty Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.