Chang Song Choi MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

015857 Issued in CT

Legal business name

CHANG SONG CHOI MD PC

Practice address

46 Goodwin St
Bristol, CT 06010

Phone

(860) 589-6919

Fax

(860) 582-2890

NPI assigned

Jan 31, 2008

Organization subpart

Yes

Parent organization

CHANG SONG CHOI MD PCAs reported in NPPES

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

Authorized official

Name

Mr. Chang Song Choi, MD

Title

MD Owner

Phone

(860) 589-6919

Specialties & licenses 1

Addresses

Part of

Chang-Song Choi MD

Locations

Practitioners 1

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

• Oliver B Diaz, M.D.

  • Internal Medicine Physician
  • Bristol, CT
  • NPI 1124037312
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1992983076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060111239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 GOODWIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-589-6919",
            "fax_number": "860-582-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG SONG CHOI MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANG SONG CHOI MD PC",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "SONG",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "860-589-6919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "015857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Connecticut Rehab Medical Group, P.C.
• Stefanie Cervero, LCSW, LADC
• Annik Stephanie Chamberlin, PHARMD, CDM
• Matthew Champeau, PA
• Hiu Lam Chan
• Debbie Cooke Charpentier
• Cathy A Chasse, RNFA
• Elizabeth Chasse
• Priyang Chaudhari, D.D.S.
• Penni Anne Cheatle, RPH

• Orthopaedic Surgery Physician in Bristol, CT
• Providers in Bristol, CT by specialty
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.