Corazon NG Chua, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

21561 Issued in KY

Practice address

2483 Highway 644 107
Louisa, KY 41230

Phone

(606) 638-1154

Fax

(606) 638-4502

NPI assigned

Jun 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: corazon.chua.p1@direct.mtcomp.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Comprehensive Care Center, Inc.

  • Mental Health Counselor
  • Prestonsburg, KY
  • NPI 1760491674
  Medicare reassignment NPD
• Mountain Comprehensive Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Louisa, KY
  • NPI 1114426863
  NPD
• Mountain Comprehensive Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1699386078
  NPD
• Guardian Care Surgical PSC

  • Clinic/Center
  • Louisa, KY
  • NPI 1639369176
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1780686824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 HIGHWAY 644 107",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "41230",
            "telephone_number": "606-638-1154",
            "fax_number": "606-638-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2483 HIGHWAY 644 107",
            "address_purpose": "LOCATION",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309242",
            "country_code": "US",
            "telephone_number": "606-638-1154",
            "fax_number": "606-638-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUA",
        "first_name": "CORAZON",
        "middle_name": "NG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "21561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64215619",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Sammons, DDS, PLLC
• David Allen Charles
• Heather Charles
• Emily Spalding Cheak
• Jill Susanne Cherry
• Jacob Aaron Cisco, PSS
• Elijah Alexander Clark
• Gregg Phillip Clark, PSS
• Jami M Clark
• Michael Clark

• Child & Adolescent Psychiatry Physician in Louisa, KY
• Providers in Louisa, KY by specialty
• Child & Adolescent Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.

Verify at the official NPI Registry.