DR. ANDY TUAN ANH CHUNG (NPI# 1164449666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164449666 |
| Entity Type | Individual |
| Full Name | DR. ANDY TUAN ANH CHUNG |
| Credential | MD |
| Practice Address |
7777 Forest Ln. Suite B432 Dallas TX 75230-2576 |
| Practice Telephone | 9725668300 |
| Practice Fax Number | 9725668004 |
| Mailing Telephone | 9725668300 |
| Mailing Fax Number | 9725668004 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
2004034263 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL | 017257 | 01 |
| CO | 76480330 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578961488 | Andy Chung | Registered Nurse | 10535 Hospital Way, Mather, CA 95655-4200 | 2014-12-08 |
| Street Address |
7777 FOREST LN. SUITE B432 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376803627 | James David Billie | Otolaryngology | 3904 Colgate Ave, Dallas, TX 75225-5423 | 2012-05-21 |
| 1013026228 | Ear Nose & Throat Care, Pa | Otolaryngology | 2448 W Illinois Ave, Dallas, TX 75233-1106 | 2006-08-30 |
| 1154743227 | Lakeview Ent, Pa | Otolaryngology | 6301 Gaston Ave, Dallas, TX 75214-3922 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801594 | Gavin John Le Nobel | Otolaryngology | 14211 Fm 2920 Road, Suite 110, Tomball, TX 77377 | 2020-08-14 |
| 1548886435 | Rana Facial Plastic Surgery Pllc | Otolaryngology | 137 San Marino Dr, Galveston, TX 77550-5715 | 2020-06-17 |
| 1407222474 | Facial Plastic Surgery Institute, Pllc | Otolaryngology | 521 W Southlake Blvd Ste 175, Southlake, TX 76092-6175 | 2015-08-13 |
| 1407273659 | Les Mohan Alloju | Otolaryngology | 4401 Coit Rd Ste 411, Frisco, TX 75035-0520 | 2014-03-26 |
| 1215276787 | Peter Vail Driscoll | Otolaryngology | 5910 Courtyard Dr, Suite 300, Austin, TX 78731-3341 | 2013-02-04 |
| 1760751671 | Ramiro E Verdooren M D P A | Otolaryngology | 801 E Nolana Ave Ste 1, Mcallen, TX 78504-6113 | 2011-12-21 |
| 1891840575 | Austin Ent Associates | Otolaryngology | 7200 Wyoming Springs Dr Ste 1400, Round Rock, TX 78681-4306 | 2007-01-24 |
| 1962447326 | Eugenio A. Aguilar IIi | Otolaryngology | 1801 Binz St Ste 300, Houston, TX 77004-7296 | 2006-06-19 |
| 1639125529 | Stuart N. Thomas | Otolaryngology | 409 Central Park Dr., Arlington, TX 76014 | 2006-05-25 |
| 1386648798 | Valley Ear Nose & Throat Specialist Pa | Otolaryngology | 2101 S Cynthia St, Mcallen, TX 78503-1294 | 2005-06-13 |
| Find all providers with the same taxonomy | ||||
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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.