Organization Active NPI

Chaurshong Chen DO Inc

  • General Practice Physician
  • Columbus, OH
National Provider Identifier
1790004299
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
005743 Issued in OH
Legal business name
CHAURSHONG CHEN DO INC
Practice address
1335 Dublin Rd
Columbus, OH 43215-1000
Phone
(614) 488-3400
Fax
(614) 488-3415
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Dr. Chaurshong Chen, D.O.NPI 1447362603
Title
President
Phone
(614) 488-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 005743 OH Primary

Addresses

Primary practice location

1335 Dublin Rd
Columbus, OH 43215-1000

Mailing address

1335 Dublin Rd
Ste 116E
Columbus, OH 43215-1000
Phone (614) 488-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000119 OH Part B Supplier - Clinic/Group Practice 0547399883 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2005203Chaurshong Chen DO Inc1335 Dublin Rd Ste 116E, Columbus, OH 43215Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory

Locations

1636 Northwest Blvd
Columbus, OH 43212
Phone (614) 488-3400

1335 Dublin Rd
Columbus, OH 43215
Phone (614) 437-9910

1335 Dublin Rd
Ste 116E
Columbus, OH 43215
Phone (614) 488-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1790004299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD",
            "address_2": "STE 116E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151000",
            "telephone_number": "614-488-3400",
            "fax_number": "614-488-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151000",
            "telephone_number": "614-488-3400",
            "fax_number": "614-488-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAURSHONG CHEN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHAURSHONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-488-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "005743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.