Active NPI
Hyung Doo Chung, M.D.
- Anatomic Pathology Physician
- Saint Louis, MO
National Provider Identifier
1497708937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- R7089
- Practice address
- 915 N Grand Blvd
Pathology and Laboratory Service, Vamc
Saint Louis, MO 63106-1621 - Phone
- (314) 652-4100
- Fax
- (314) 289-7073
- NPI assigned
- May 18, 2006
- Last updated
- Jul 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuropathology Physician | 207ZN0500X | R7089 | MO | |
| Anatomic Pathology Physician | 207ZP0101X | R7089 | MO | Primary |
Addresses
Primary practice location
915 N Grand Blvd
Pathology and Laboratory Service, Vamc
Saint Louis, MO 63106-1621
Mailing address
915 N Grand Blvd
Pathology and Laboratory Service, Vamc
Saint Louis, MO 63106-1621
Phone (314) 652-4100
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7089 | MO | MD | Neuropathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis University | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1497708937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N GRAND BLVD",
"address_2": "PATHOLOGY AND LABORATORY SERVICE, VAMC",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631061621",
"telephone_number": "314-652-4100",
"fax_number": "314-289-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N GRAND BLVD",
"address_2": "PATHOLOGY AND LABORATORY SERVICE, VAMC",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631061621",
"telephone_number": "314-652-4100",
"fax_number": "314-289-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "HYUNG",
"middle_name": "DOO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "MO",
"license": "R7089",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MO",
"license": "R7089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.