DR. MICHAEL SUNG CHUNG (NPI# 1013948462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013948462 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SUNG CHUNG |
| Credential | M.D. |
| Practice Address |
2826 Old Lee Hwy Suite 200 Fairfax VA 22031-4323 |
| Practice Telephone | 7032060026 |
| Practice Fax Number | 7032060029 |
| Mailing Telephone | 7032060026 |
| Mailing Fax Number | 7032060029 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0101055898 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6802117 | 05 | |
| MD | 495211100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308476 | Michael W Chung | Student in an Organized Health Care Education/Training Program | 1001 E Byrd St Apt 61027, Richmond, VA 23219-4316 | 2020-05-28 |
| 1154795656 | Michael Chung | Dentist | 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514 | 2015-11-20 |
| 1023382884 | Michael Chung | Pharmacist | 1619 Mabry Mill Dr Sw, North Canton, OH 44709-1087 | 2012-02-26 |
| 1235401928 | Michael Chung | Physical Therapy Assistant | 846 W Foothill Blvd # C, Upland, CA 91786 | 2012-01-27 |
| 1134380983 | Michael Y Chung | Dentist | 3 W Columbia Ave, Palisades Park, NJ 07650 | 2008-06-24 |
| 1962623512 | Michael Jongchil Chung | Dentist | 59dts-mrde, 2450 Pepperrell Street, Lackland Afb, San Antonio, TX 78236-5345 | 2007-05-01 |
| 1962573741 | Michael Mc Chung | Chiropractor | 4025 W Chandler Blvd, Suite 3, Chandler, AZ 85226-3771 | 2006-11-13 |
| 1194339838 | Michael Chung | Pharmacist | 6314 N 9th Ave, Pensacola, FL 32504-7320 | 2020-09-01 |
| 1346878170 | Michael Young-woon Chung | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2020-03-28 |
| 1275094120 | Michael Chung | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd Rm 1415, Los Angeles, CA 90073-1003 | 2019-03-25 |
| Street Address |
2826 OLD LEE HWY SUITE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879303 | Fareeha I Khan | Specialist | 2826 Old Lee Hwy, Suite 100, Fairfax, VA 22031 | 2005-05-27 |
| 1013308808 | Elizabeth Ann Myers | Physician Assistant | 2826 Old Lee Hwy, Suite #330, Fairfax, VA 22031-4323 | 2015-02-15 |
| 1942691019 | Nova Reconstructive Surgery LLC | Plastic Surgery | 2826 Old Lee Hwy, Ste 330, Fairfax, VA 22031-4323 | 2015-02-11 |
| 1205242419 | Megan Condrey | Physician Assistant | 2826 Old Lee Hwy, Ste. 330, Fairfax, VA 22031-4323 | 2014-07-08 |
| 1306189816 | Nassar F Khan Md PC | Specialist | 2826 Old Lee Hwy, Suite # 110, Fairfax, VA 22031-4323 | 2013-04-03 |
| 1649573205 | Jay Daniel Ryan | Podiatrist | 2826 Old Lee Hwy, Suite 220, Fairfax, VA 22031-4323 | 2010-12-20 |
| 1285940502 | Mahadevappa Hunasikatti Md PC | Internal Medicine | 2826 Old Lee Hwy, Suite 330, Fairfax, VA 22031-4323 | 2010-08-24 |
| 1750695896 | Plastic Surgery Consultants, LLC | Plastic Surgery | 2826 Old Lee Hwy, Suite 330, Fairfax, VA 22031-4323 | 2010-07-30 |
| 1073757662 | Active Medical Care, Inc. | Specialist | 2826 Old Lee Hwy, Ste 330, Fairfax, VA 22031-4323 | 2009-04-27 |
| 1003074113 | Greater Washington Plastic Surgery Associates, LLC | Plastic Surgery | 2826 Old Lee Hwy, Suite 330, Fairfax, VA 22031 | 2008-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669423372 | State of The Art Rehab, Inc. | Physical Medicine & Rehabilitation | 11166 Fairfax Blvd, Suite 202, Fairfax, VA 22030-5017 | 2006-05-15 |
| 1306109590 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 11166 Fairfax Blvd, Suite 105, Fairfax, VA 22030-5017 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113757 | Vann-virginia Center for Orthopaedics PC | Physical Medicine & Rehabilitation | 6160 Kempsville Cir Ste 110a, Norfolk, VA 23502-3933 | 2020-01-07 |
| 1902220403 | Triumph Medical Advancments | Physical Medicine & Rehabilitation | 43704 Lees Mill Sq, Leesburg, VA 20176-3821 | 2014-02-05 |
| 1659792323 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 7535 Little River Tpke Ste 100c, Annandale, VA 22003-2976 | 2013-12-26 |
| 1174843064 | Bruce Ira Tetalman | Physical Medicine & Rehabilitation | 716 Thimble Shoals Blvd, Suite A, Newport News, VA 23606-4545 | 2010-06-02 |
| 1275769168 | Anil Mathew Chenthitta | Physical Medicine & Rehabilitation | 19450 Deerfield Ave Ste 280, Leesburg, VA 20176-6821 | 2009-06-05 |
| 1548427461 | Costa George Soteropoulos | Physical Medicine & Rehabilitation | 411-b Park Hill Dr, Fredericksburg, VA 22401 | 2008-05-19 |
| 1003028812 | Christopher A Dawson | Physical Medicine & Rehabilitation | 860 Omni Blvd Ste 115, Newport News, VA 23606-4430 | 2007-05-04 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1518982032 | Joseph Vincent Ferraro | Physical Medicine & Rehabilitation | 2729 King St, Alexandria, VA 22302-4008 | 2006-07-13 |
| 1285668491 | Suneetha Budampati | Physical Medicine & Rehabilitation | 2800 S Shirlington Rd Ste 102, Arlington, VA 22206-3603 | 2006-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.