Thomas Tai Chung MD PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD00038197 Issued in WA

Legal business name

THOMAS TAI CHUNG MD PLLC

Practice address

1600 E Jefferson St
Suite 620
Seattle, WA 98122-5698

Phone

(206) 320-2675

Fax

(206) 320-4302

NPI assigned

Apr 8, 2009

Organization subpart

No

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

Authorized official

Name

Thomas Tai Chung, MD

Title

Owner/Sole Member

Phone

(206) 320-2675

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1700029600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST",
            "address_2": "SUITE 620",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225698",
            "telephone_number": "206-320-2675",
            "fax_number": "206-320-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST",
            "address_2": "SUITE 620",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225698",
            "telephone_number": "206-320-2675",
            "fax_number": "206-320-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS TAI CHUNG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "TAI",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "206-320-2675",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00038197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110657",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas J Deal MD
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• Thomas P Sweeney DDS PS
• Thomas S Yang MD PS
• Thomas S. Maring MD, DMD, PS
• Thomas W & Valerie J Wall PHD PS
• Thomas W Wall PHD PS
• Thomas W. Wall PHD, PS
• Emily Phu Thomas-Tran, MD
• Jane Thomas-Tran

• Physical Medicine & Rehabilitation Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.