THOMAS CHUN (NPI# 1811911753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811911753 |
| Entity Type | Individual |
| Full Name | THOMAS CHUN |
| Credential | MD |
| Practice Address |
593 Eddy St Claverick 2 Providence RI 02903-4923 |
| Mailing Address |
Po Box 9484 Providence RI 02940-9484 |
| Practice Telephone | 4018542504 |
| Practice Fax Number | 4018542519 |
| Mailing Telephone | 4018542508 |
| Mailing Fax Number | 4018542519 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD08842 | RI | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
MD08842 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NPI | 1811911753 | 01 |
| RI | RAILROAD MEDICARE | 370015288 | 01 |
| RI | RI MEDICARE GROUP NUMBER | 939025129 | 01 |
| RI | TUFTS | 12/29/2008 | 01 |
| MA | 3197832 | 05 | |
| RI | NHPRI | 01/11/2007 | 01 |
| RI | 7007368 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922185842 | Thomas H. Chun | Urology | 55 Whitcher St # 250, Marietta, GA 30060 | 2006-11-01 |
| 1760964837 | Thomas A Chun | Behavior Technician | 3704 Nth 35th St, Tacoma, WA 98407 | 2018-09-05 |
| 1710057005 | Thomas Chun | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-08 |
| 1407846827 | Thomas Chun | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-10-26 |
| Street Address |
593 EDDY ST CLAVERICK 2 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306185 | Mitchel A Sklar | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2005-06-15 |
| 1376140707 | Kristen Marie Czekanski | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-08 |
| 1326645300 | Elizabeth Stefanilo | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-03 |
| 1841807633 | Julie Walden | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-09-26 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1588273064 | Cassandra Pagnotta | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-30 |
| 1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
| 1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
| 1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
| 1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679587505 | Frank Overly | Pediatrics | 593 Eddy St, Claverick 2, Providence, RI 02903-4923 | 2006-07-28 |
| 1184638017 | Lynne Palmisciano | Pediatrics | 593 Eddy St, Claverick 2, Providence, RI 02903-4923 | 2006-07-28 |
| 1477577302 | Charles Callahan | Pediatrics | 593 Eddy St, Claverick 2, Providence, RI 02903-4923 | 2006-07-26 |
| 1871516963 | Elizabeth S Jacobs | Pediatrics | 593 Eddy St, Claverick 2, Providence, RI 02903 | 2006-07-26 |
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on THOMAS CHUN.
| 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.