Active NPI
Jang Eun Cho, M.D.
- Child & Adolescent Psychiatry Physician
- Gig Harbor, WA
National Provider Identifier
1568604106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD60812543
- Practice address
- 4458 Golden West CT
Gig Harbor, WA 98335-7399 - Phone
- (253) 780-1786
- Fax
- (877) 286-4106
- NPI assigned
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0079959 | MD | |
| Psychiatry Physician | 2084P0800X | MD042462 | DC | |
| Psychiatry Physician | 2084P0800X | 0101258946 | VA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD60812543 | WA | Primary |
Addresses
Primary practice location
4458 Golden West CT
Gig Harbor, WA 98335-7399
Mailing address
4458 Golden West CT
Gig Harbor, WA 98335-7399
Phone (253) 780-1786
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 |
|---|---|---|---|
| MD042462 | DC | MD | Psychiatry Physician |
| D0079959 | MD | MD | Psychiatry Physician |
| 0101258946 | VA | MD | Psychiatry Physician |
| MD60812543 | WA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1568604106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4458 GOLDEN WEST CT",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983357399",
"telephone_number": "253-780-1786",
"fax_number": "877-286-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4458 GOLDEN WEST CT",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983357399",
"telephone_number": "253-780-1786",
"fax_number": "877-286-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "JANG",
"middle_name": "EUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0079959",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD042462",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101258946",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD60812543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.