Active NPI
Mou Shyong Chern, M.D.
- General Practice Physician
- Ava, MO
National Provider Identifier
1649386459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- R9371
- Practice address
- 1301 North Highway 5
Ava, MO 65608-0218 - Phone
- (417) 683-3511
- Fax
- (417) 683-3521
- NPI assigned
- Aug 22, 2006
- Last updated
- Jul 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | R9371 | MO | Primary |
Addresses
Primary practice location
1301 North Highway 5
Ava, MO 65608-0218
Mailing address
PO Box 218
Ava, MO 65608-0218
Phone (417) 683-3511
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-00464 | Other | MO | UNITED HEALTH CARE |
| 1728882 | Other | MO | FIRST HEALTH |
| 7590 | Other | MO | BLUE CROSS BLUE SHIELD |
| 103464 | Other | MO | HEALTH LINK |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients | |
| John Balko and Associates Inc | 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 Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1932105996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649386459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "AVA",
"state": "MO",
"postal_code": "656080218",
"telephone_number": "417-683-3511",
"fax_number": "417-683-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 NORTH HIGHWAY 5",
"city": "AVA",
"state": "MO",
"postal_code": "656080218",
"telephone_number": "417-683-3511",
"fax_number": "417-683-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERN",
"first_name": "MOU",
"middle_name": "SHYONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "R9371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "01-00464",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1728882",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7590",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "103464",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ava, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.