Active NPI
Chen Su Chiung, MD
- Cardiovascular Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 33980
- Practice address
- 3691 Rutger St
Saint Louis, MO 63110-2515 - Phone
- (314) 977-6828
- Fax
- (314) 977-6777
- NPI assigned
- Jun 15, 2006
- Last updated
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 33980 | MO | Primary |
Addresses
Primary practice location
3691 Rutger St
Saint Louis, MO 63110-2515
Mailing address
3691 Rutger St
Provider Enrollment
Saint Louis, MO 63110-2515
Phone (314) 977-6828
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33980 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Cardiovascular Disease | Past | Accepting new patients |
| SSM Health Care St. Louis | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Cardiovascular Disease
-
dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1649214370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3691 RUTGER ST",
"address_2": "PROVIDER ENROLLMENT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102515",
"telephone_number": "314-977-6828",
"fax_number": "314-977-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3691 RUTGER ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102515",
"telephone_number": "314-977-6828",
"fax_number": "314-977-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU CHIUNG",
"first_name": "CHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "33980",
"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 12, 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.