MICHAEL T CHUNG (NPI# 1164416681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164416681 |
Entity Type | Individual |
Full Name | MICHAEL T CHUNG |
Credential | DPM |
Practice Address |
5253 Providence Rd Suite 100 Virginia Beach VA 23464-4201 |
Practice Telephone | 7574956113 |
Practice Fax Number | 7575109343 |
Mailing Telephone | 7574956113 |
Mailing Fax Number | 7575109343 |
Enumeration Date | 2005-09-12 |
Last Update Date | 2014-03-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0103300727 | VA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 9304894 | 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 |
5253 PROVIDENCE RD SUITE 100 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23464-4201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235123019 | Michael Holtz | Podiatrist | 5253 Providence Rd, Suite 100, Virginia Beach, VA 23464-4201 | 2005-09-07 |
1750689618 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 5253 Providence Rd, Suite 100, Virginia Beach, VA 23464-4201 | 2011-03-02 |
1982867057 | Tracy L Klimaz | Podiatrist | 5253 Providence Rd, Suite 100, Virginia Beach, VA 23464-4201 | 2008-07-08 |
1760570279 | Virginia Podiatry PC | Podiatrist | 5253 Providence Rd, Suite 100, Virginia Beach, VA 23464 | 2006-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
Find all providers in zip 23464 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346540515 | All American Podiatry and Wound Care, P.C. | Podiatrist | 4620 Bunker Hill Ln, Virginia Beach, VA 23462-2245 | 2010-10-22 |
1265538979 | Paul Thomas Spada | Podiatrist | 533 Rodney Ln, Virginia Beach, VA 23464-2227 | 2006-09-16 |
1700840741 | Lynette Marla Santiago | Podiatrist | 665 Newtown Rd, Virginia Beach, VA 23462-1683 | 2006-04-14 |
1730158874 | N Wynta Williams | Podiatrist | 4224 Holland Rd, Suite #106, Virginia Beach, VA 23452-1900 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528666971 | Virtual Foot and Ankle Care, LLC | Podiatrist | 5970 Derwent Rd, Powhatan, VA 23139-4620 | 2020-10-16 |
1891137048 | Tidewater Foot Center LLC | Podiatrist | 126 Monarch Dr, Newport News, VA 23602-6884 | 2013-07-29 |
1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
1942326137 | Rosemary Cecile O'grady | Podiatrist | 1942 William St, Fredericksburg, VA 22401-5128 | 2007-03-21 |
1144360058 | Podiatric Care of Northern Virginia, PC | Podiatrist | 821 S King St Ste I, Leesburg, VA 20175-3922 | 2007-02-08 |
1477638526 | Jerald A. Kriger | Podiatrist | 8605 Sudley Rd, Manassas, VA 20110-4583 | 2006-10-26 |
1275623043 | Virginia Footcare Center, LLC | Podiatrist | 2848 Jefferson Davis Hwy, Suite 114, Stafford, VA 22554-1767 | 2006-10-13 |
1538279260 | Hampton Roads Podiatry PC | Podiatrist | 5241 Princess Anne Road Suite 102, Va Beach, VA 23462 | 2006-08-30 |
1326152976 | Mukesh D. Bhakta | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2006-08-19 |
1952330219 | Bruce Alan Krueger | Podiatrist | 20190 Market St., Onancock, VA 23417 | 2006-06-30 |
Find all providers with the same taxonomy |
City | VIRGINIA BEACH |
Zip Code | 23464 |
Please comment or provide details below to improve the information on MICHAEL T CHUNG.
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.