Active NPI
Jean Chunyo, PA
- Physician Assistant
- Pickens, SC
National Provider Identifier
1760967608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3101
- Practice address
- 318 E Main St
Pickens, SC 29671-2385 - Phone
- (304) 429-1088
- NPI assigned
- Sep 26, 2018
- Last updated
- Jan 13, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3101 | SC | Primary |
Addresses
Primary practice location
318 E Main St
Pickens, SC 29671-2385
Mailing address
318 E Main St
Pickens, SC 29671-2385
Phone (864) 878-9881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3101 | Other | SC | STATE OF SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Ohio Valley Physicians, Inc | Past | Accepting new patients |
Locations
2102 Cromley Cir
Ste A
Myrtle Beach, SC 29577
Phone (843) 999-0064
318 E Main St
Pickens, SC 29671
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1760967608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 E MAIN ST",
"city": "PICKENS",
"state": "SC",
"postal_code": "296712385",
"telephone_number": "864-878-9881",
"fax_number": "864-898-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E MAIN ST",
"city": "PICKENS",
"state": "SC",
"postal_code": "296712385",
"telephone_number": "304-429-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNYO",
"first_name": "JEAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "3101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF SC",
"identifier": "3101",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pickens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.