Active NPI
Laura J Chong, M.D.
- Obstetrics & Gynecology Physician
- Salem, OR
National Provider Identifier
1831133313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD134398
- Practice address
- 2020 Capitol St NE
Salem, OR 97303-3244 - Phone
- (503) 399-2424
- Fax
- (503) 375-7429
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD134398 | OR | Primary |
Addresses
Primary practice location
2020 Capitol St NE
Salem, OR 97303-3244
Mailing address
PO Box 8100
Salem, OR 97303-0900
Phone (503) 399-2424
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160045786 | Other | RAILROAD MEDICARE | |
| CS4159 | Other | RAILROAD MEDICARE GROUP | |
| 134398 | Medicaid | OR |
Other names 1
- Laura J Boynton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 Capitol St NE
Salem, OR 97301-0644
Phone (503) 399-2424
Hospital & facility affiliations
- Salem Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD134398 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Clinic, PC | Current | Accepting new patients | |
| Salem Health | Past | Accepting new patients |
Locations
2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470
Interoperability endpoints
- lchong38846@salemclinic.gardenplot.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Salem, OR
- NPI 1912935594
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1831133313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8100",
"city": "SALEM",
"state": "OR",
"postal_code": "973030900",
"telephone_number": "503-399-2424",
"fax_number": "503-375-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CAPITOL ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973033244",
"telephone_number": "503-399-2424",
"fax_number": "503-375-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "LAURA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD134398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160045786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CS4159",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134398",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "BOYNTON",
"middle_name": "J",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.