DR. MAURICE WENDELL CHUNG (NPI# 1124042015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124042015 |
| Entity Type | Individual |
| Full Name | DR. MAURICE WENDELL CHUNG |
| Credential | M.D. |
| Practice Address |
2311 N Prospect Ave Milwaukee WI 53211-4445 |
| Mailing Address |
4425 N Port Washington Rd Attn: Csmcp Clinic Credentialing Glendale WI 53212-1082 |
| Practice Telephone | 4143193000 |
| Practice Fax Number | 4143193033 |
| Mailing Telephone | 4143193000 |
| Mailing Fax Number | 4143193033 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
26944 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30743100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505681 | Maurice K Chung | Obstetrics & Gynecology | 310 S Cable Rd, Lima, OH 45805-3110 | 2005-08-19 |
| Street Address |
2311 N PROSPECT AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983275 | James G Linn | Obstetrics & Gynecology | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2005-06-21 |
| 1235752353 | Maria Michelle Olex | Psychologist | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2020-05-22 |
| 1336785500 | Daniel Steven Chadwick | Physician Assistant | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2019-11-22 |
| 1154978310 | Linda Perez | Nurse Practitioner | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2019-08-22 |
| 1497228274 | Megan T Snyder | Registered Nurse | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2019-01-04 |
| 1477026185 | Gina Marie Hubacz | Nurse Practitioner | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2019-01-04 |
| 1730659343 | Lindsay Marie Witkowski | Nurse Practitioner | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2018-11-27 |
| 1679004980 | Kristin Janna Magliocco | Family Medicine | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2017-03-27 |
| 1811428303 | Bernard Nartey | Family Medicine | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2017-03-25 |
| 1699125385 | Lena Sharma | Family Medicine | 2311 N Prospect Ave, Milwaukee, WI 53211 | 2016-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
| 1962465047 | Jeffrey M. Weber | Internal Medicine | 2901 W. Kk River Pkwy., Suite 414, Milwaukee, WI 53215-3660 | 2006-04-10 |
| 1801863501 | Gi Associates LLC | Internal Medicine | 2801 W Kk River Pkwy Ste 1080, Milwaukee, WI 53215-3689 | 2006-03-02 |
| 1417924192 | Maria T Rivera | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215-3689 | 2006-03-02 |
| 1093789315 | Chad J Stepke | Internal Medicine | 788 N. Jefferson Street, Suite 401, Milwaukee, WI 53202 | 2006-02-14 |
| 1003891250 | Aboud Affi | Internal Medicine | 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233-1330 | 2005-12-09 |
| 1538721451 | Alyssa S Deppong | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215-3689 | 2019-07-01 |
| 1730608324 | Gastroenterology Consultants, Ltd | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215-3689 | 2017-09-14 |
| 1144676727 | Keely Bornor Browning | Internal Medicine | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2016-05-12 |
| 1215342993 | Farhan Quader | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-06-21 |
| Find all providers in MILWAUKEE | ||||
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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.