Andrew Y. Chao, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R2A51 Issued in MO

Legal business name

ANDREW Y. CHAO, INC

Practice address

683 Big Bend Rd
Ballwin, MO 63021-7723

Phone

(636) 227-1511

Fax

(636) 227-2452

NPI assigned

Apr 23, 2007

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dailing Chao

Title

Office Superviser

Phone

(636) 227-1511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1780802108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 BIG BEND RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217723",
            "telephone_number": "636-227-1511",
            "fax_number": "636-227-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 BIG BEND RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217723",
            "telephone_number": "636-227-1511",
            "fax_number": "636-227-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW Y. CHAO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "DAILING",
        "authorized_official_title_or_position": "OFFICE SUPERVISER",
        "authorized_official_telephone_number": "636-227-1511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R2A51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.