Active NPI
Stephen K. Choong, MD PC
- Surgery Physician
- Gresham, OR
National Provider Identifier
1811203896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10395
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03349-8 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.