SHAWN CHONG (NPI# 1023461951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023461951 |
| Entity Type | Individual |
| Full Name | SHAWN CHONG |
| Credential | PA-C |
| Practice Address |
18109 Prince Philip Dr Suite 300 Olney MD 20832-1519 |
| Mailing Address |
11351 Woodglen Dr Apt 424 Rockville MD 20852-6014 |
| Practice Telephone | 3015708554 |
| Mailing Telephone | 2407010897 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C06161 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18109 PRINCE PHILIP DR SUITE 300 |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859085 | Edward Philip Taubman | Internal Medicine | 18109 Prince Philip Dr, Ste 275, Olney, MD 20832-1576 | 2005-05-27 |
| 1699395665 | Aly Dillon | Student in an Organized Health Care Education/Training Program | 18109 Prince Philip Dr, Olney, MD 20832-1519 | 2020-04-20 |
| 1841765740 | Lei Ma | Student in an Organized Health Care Education/Training Program | 18109 Prince Philip Dr, Olney, MD 20832-1519 | 2018-10-06 |
| 1831630227 | Jordan Doughty | Physical Therapy Assistant | 18109 Prince Philip Dr, Suite B-200, Olney, MD 20832-1519 | 2017-03-17 |
| 1134570898 | John Vipperman | Specialist/Technologist | 18109 Prince Philip Dr, Olney, MD 20832 | 2016-06-23 |
| 1932557139 | Shoshana Feldman | Registered Nurse | 18109 Prince Philip Dr, Olney, MD 20832-1519 | 2016-05-27 |
| 1649633140 | Mohammad Ahmad Safdar Ali | Internal Medicine | 18109 Prince Philip Dr, Olney, MD 20832-1519 | 2016-04-01 |
| 1265893515 | Capital Ob Gyn Specialists, Pa | Obstetrics & Gynecology | 18109 Prince Philip Dr, Suite 275, Olney, MD 20832-1519 | 2016-03-15 |
| 1023499738 | Joshua Lomke | Dentist | 18109 Prince Philip Dr, Suite 270, Olney, MD 20832-1519 | 2015-06-18 |
| 1194106468 | Sandra Lee | Physical Therapist | 18109 Prince Philip Dr, Suite B-200, Olney, MD 20832-1519 | 2015-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
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| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659743623 | Linda Lee | Physician Assistant | 18109 Prince Philip Dr Ste 325, Olney, MD 20832-1576 | 2015-10-29 |
| 1386038198 | Natalie Karkhanis | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2015-03-19 |
| 1770912107 | Alison Tourville | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2013-11-06 |
| 1801158787 | Olney Hamilton Hospital District | Physician Assistant | 901 W Hamilton St, Olney, TX 76374-1725 | 2012-06-15 |
| 1467734301 | Eilnaz Momenzadeh | Physician Assistant | 3414 Olandwood Ct, Olney, MD 20832 | 2011-09-16 |
| 1134242399 | Maria Elena Marcos Espina | Physician Assistant | 18109 Prince Philip Dr, Suite 300, Olney, MD 20832-1519 | 2007-04-10 |
| 1962525642 | Allison Chappelear Moffett | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2007-04-09 |
| 1336157080 | Richard Edward Bizjak | Physician Assistant | 3414 Olandwood Ct, Olney, MD 20832-1384 | 2006-08-04 |
| 1104834878 | Ronald L Swaim | Physician Assistant | 3414 Olandwood Ct, Olney, MD 20832-1384 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
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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.