Organization Active NPI

Stephen K. Choong, MD PC

  • Surgery Physician
  • Gresham, OR
National Provider Identifier
1811203896
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10395 Issued in OR
Legal business name
STEPHEN K. CHOONG, MD PC
Practice address
501 NE Hood Ave
Suite 205
Gresham, OR 97030-7303
Phone
(503) 661-6765
Fax
(503) 661-6789
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. Stephen K Choong, MD
Title
Owner
Phone
(503) 661-6765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 10395 OR Primary

Addresses

Primary practice location

501 NE Hood Ave
Suite 205
Gresham, OR 97030-7303

Mailing address

501 NE Hood Ave
Suite 205
Gresham, OR 97030-7303
Phone (503) 661-6765

Other identifiers 1

IdentifierTypeStateIssuer
03349-8MedicaidOR

National Provider Directory

National Provider Directory

Locations

501 NE Hood Ave
Ste 205
Gresham, OR 97030
Phone (503) 661-6765

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1811203896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE HOOD AVE",
            "address_2": "SUITE 205",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307303",
            "telephone_number": "503-661-6765",
            "fax_number": "503-661-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NE HOOD AVE",
            "address_2": "SUITE 205",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307303",
            "telephone_number": "503-661-6765",
            "fax_number": "503-661-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN K. CHOONG, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "CHOONG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-661-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "10395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03349-8",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.