Individual provider Active NPI

Elizabeth Chung, M.D.

  • Obstetrics & Gynecology Physician
  • Mansfield, OH
National Provider Identifier
1619105590
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35121928 Issued in OH
Practice address
500 S Trimble Rd
Mansfield, OH 44906-4103
Phone
(419) 756-6000
Fax
(419) 756-1774
NPI assigned
Jun 30, 2009
Last updated
May 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35121928 OH Primary

Addresses

Primary practice location

500 S Trimble Rd
Mansfield, OH 44906-4103

Mailing address

500 S Trimble Rd
Mansfield, OH 44906-4103
Phone (419) 756-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address echung@wcareinc.gwaydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130918000475 OH Practitioner - Obstetrics/Gynecology 5395989131 Reassigns benefits to 3 organizations
I20251216002063 MI Practitioner - Obstetrics/Gynecology 5395989131 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Mansfield Obstetrics and Gynecology Associates IncGroup PAC ID 8123052800, 5 clinicians

Practice addresses (Care Compare)

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

500 S Trimble Rd
Mansfield, OH 44906-4103
Phone (419) 756-6000

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.3 of 100Reported as group
Quality
94.03
Improvement activities
40
Cost
75.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35121928OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Ohio Corp Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Dec 23, 2025 Accepting new patients
Mansfield Obstetrics & Gynecology Associates Inc Obstetrics & Gynecology CurrentSince Sep 1, 2013 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Dec 23, 2025 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Dec 23, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Dec 23, 2025 Accepting new patients
Mid-Ohio Radiology, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Mymichigan Medical Center Alma Obstetrics & Gynecology CurrentSince Dec 23, 2025 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Dec 23, 2025 Accepting new patients
Mymichigan Medical Center Alpena PastSince Dec 23, 2025 Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients
Avita Ontario Hospital Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

315 E Warwick Dr
Ste D
Alma, MI 48801
Phone (989) 466-5486

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4401 N Campus Ridge Dr
Ste LL110
Midland, MI 48640
Phone (989) 837-9400

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

2431 S M 30
Ste 200
West Branch, MI 48661
Phone (989) 343-3762

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

500 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-6000

Interoperability endpoints

  • Direct secure messaging: echung903117@direct.osumc.edu
  • FHIR API: https://ihismufhir.osumc.edu/fhir-prd/api/FHIR/R4/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1619105590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064103",
            "telephone_number": "419-756-6000",
            "fax_number": "419-756-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064103",
            "telephone_number": "419-756-6000",
            "fax_number": "419-756-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35121928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "echung@wcareinc.gwaydirect.com",
            "affiliation": "N",
            "address_1": "500 S Trimble Rd",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449064103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.