Dae B. Chough, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101030783 Issued in VA

Practice address

5838 Harbour View Blvd
Suite 270
Suffolk, VA 23435-2663

Phone

(757) 541-1050

Fax

(757) 541-1097

NPI assigned

Jul 24, 2006

Last updated

Aug 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1881616134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 HARBOUR VIEW BLVD",
            "address_2": "SUITE 270",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352663",
            "telephone_number": "757-541-1050",
            "fax_number": "757-541-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 HARBOUR VIEW BLVD",
            "address_2": "SUITE 270",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352663",
            "telephone_number": "757-541-1050",
            "fax_number": "757-541-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUGH",
        "first_name": "DAE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101030783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6082459",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childrens Hospital of the Kings Daughters Inc (CHKD Health Center at Harbour View)
• Childrens Medical Group Inc (Nansemond Pediatrics)
• Childrens Medical Group Inc (Suffolk Pediatrics)
• Childrens Physician Group Inc (Nansemond Pediatrics)
• Childrens Physician Group Inc (Suffolk Pediatrics)
• Christian O Davillier DDS PLLC (Davillier Orthodontics)
• Allison Christofferson, M.S CF-SLP
• Christopher Dowd DO PC
• Jun K. Chung, M.D.
• Caitlyn Churchill

• Cardiovascular Disease Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.