Younho Chung MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301069853 Issued in MI

Legal business name

YOUNHO CHUNG MD PC

Practice address

497 Columbia Ave E Ste 13
Battle Creek, MI 49014-5463

Phone

(269) 969-6060

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Elaine Taylor

Title

Credentialing Coordinator

Phone

(810) 230-7042

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

John R Young2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Younho Chung

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1609835545
  NPD tax ID

Locations

Practitioners 1

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

• Younho Chung, M.D.

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1881898104
  Medicare reassignment NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1811190101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 COLUMBIA AVE E STE 13",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145463",
            "telephone_number": "269-969-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 COLUMBIA AVE E STE 13",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145463",
            "telephone_number": "269-969-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNHO CHUNG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "810-230-7042"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301069853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3464952",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Lawrence Yoder, M.D.
• Denise Jackson Young
• Lashawn Young
• Zachary Young, DO
• Younho Chung
• Wei Sum Yuen, DDS
• Steven C Yuill, MD
• Rumana Yunus, MD
• Jennifer Leigh Yurisich, PTA
• Ahmed Zaghloul

• Internal Medicine Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.