Tae H Chung (NPI# 1952322703, PAC ID# 6305934217) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952322703 |
| PAC ID by PECOS | 6305934217 |
| Professional Enrollment ID | I20071109000563 |
| Full Name | Tae H Chung |
| Organization Legal Name | THOMAS KIZY MD PLLC |
| Address |
329 Columbia St Algonac MI 48001-1543 |
| Phone Number | 8106713190 |
| Gender | M |
| Graduation Year | 1967 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284937244 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 329 Columbia St, Algonac, MI 48001-1543 | 8106713190 | THOMAS KIZY MD PLLC |
| Organization Legal Name | THOMAS KIZY MD PLLC |
| Physicians | 1 |
| Street Address |
329 COLUMBIA ST |
| City | ALGONAC |
| State | MI |
| Zip | 48001-1543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivasa Rao R Gude | Physical Therapy | Therapy Consultants PC | 329 Columbia St, Suite B, Algonac, MI 48001-1543 |
| Saravanan Chockalingam | Physical Therapy | Therapy Consultants PC | 329 Columbia St, Suite B, Algonac, MI 48001-1543 |
| Chetan Patel | Physical Therapy | Therapy Consultants PC | 329 Columbia St, Suite B, Algonac, MI 48001-1543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David T Hindy | Family Medicine | Ascension River District Hospital | 1051 Saint Clair Blvd, Algonac, MI 48001-1431 |
| Melissa M Badalamanti | Nurse Practitioner | Ascension River District Hospital | 1051 Saint Clair Blvd, Algonac, MI 48001-1431 |
| Megan L Bradford | Chiropractic | 624 Michigan St, Algonac, MI 48001-1545 | |
| Lolita M Maliskey | Physical Therapy | 427 Michigan St, Algonac, MI 48001-1641 | |
| Jason R Bortnem | Family Medicine | Downriver Community Services Inc | 555 Saint Clair River Dr, Algonac, MI 48001-1802 |
| Alex A Maes | Physical Therapy | Vms of Macomb Twp LLC | 555 Saint Clair River Dr, Suite D, Algonac, MI 48001-1802 |
| Shelia R Singleton | Family Medicine | Downriver Community Services Inc | 555 Saint Clair River Dr, Algonac, MI 48001-1802 |
| Kimberly A Shmina | Nurse Practitioner | Downriver Community Services Inc | 555 Saint Clair River Dr, Algonac, MI 48001-1802 |
| William J Brady Jr. | Chiropractic | 406 Pointe Tremble Rd, Algonac, MI 48001-1805 |
| City | ALGONAC |
| Zip Code | 48001 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALGONAC + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tae H Chung.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.