NPIMap

Individual provider Active NPI

Tobun Toby Cheung, M.D.

  • Internal Medicine Physician
  • Kennewick, WA
National Provider Identifier
1508895509
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41002 Issued in KY
Practice address
3810 Plaza Way
Kennewick, WA 99338
Phone
(509) 221-7010
NPI assigned
Jul 2, 2006
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0036103 TN
Internal Medicine Physician 207R00000X 41002 KY Primary

Addresses

Primary practice location

3810 Plaza Way
Kennewick, WA 99338

Mailing address

PO Box 6128
Kennewick, WA 99336-0128

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidTN
4088148OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070206000670 WA Practitioner - Internal Medicine 1557339108 Reassigns benefits to 2 organizations
I20160920001224 KY Practitioner - Internal Medicine 1557339108 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0036103TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 1 of Mason County Wa CurrentSince Dec 28, 2019 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jun 25, 2019 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Dec 28, 2019 Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine CurrentSince Aug 15, 2016 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 15, 2016 Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine Current Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jun 25, 2019 Accepting new patients
Southeastern Physician Services PC Internal Medicine Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Organizations & group practices 11

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1508895509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6128",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-221-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "TOBUN",
        "middle_name": "TOBY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0036103",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "41002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4088148",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.