DR. CHARLES FERNANDEZ CHONG (NPI# 1154453686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154453686 |
| Entity Type | Individual |
| Full Name | DR. CHARLES FERNANDEZ CHONG |
| Credential | M.D. |
| Practice Address |
936 Sharpe Hospital Rd William Sharpe Jr. Hospital Weston WV 26452-8550 |
| Practice Telephone | 3042691210 |
| Practice Fax Number | 3042690502 |
| Mailing Telephone | 3042691210 |
| Mailing Fax Number | 3042690502 |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2012-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 11547 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICARE PTAN | WV0497A | 01 |
| WV | 0054223000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790845733 | Charles Chong | Pharmacist | 176 E 161st St, Bronx, NY 10451-3508 | 2006-12-11 |
| Street Address |
936 SHARPE HOSPITAL RD WILLIAM SHARPE JR. HOSPITAL |
| City | WESTON |
| State | WV |
| Zip Code | 26452-8550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581118 | William R. Sharpe, Jr. Hospital | Psychiatric Hospital | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2005-07-11 |
| 1609401520 | Rachel Richardson | Nurse Practitioner | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2020-03-11 |
| 1508422338 | Issaiah Wallace | Nurse Practitioner | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2019-05-16 |
| 1417412727 | Jennifer Kathleen Frazier | Nurse Practitioner | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2019-01-31 |
| 1730696394 | Tabitha Dawn Gruver | Nurse Practitioner | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2018-01-04 |
| 1922547207 | Tina Spence | Physician Assistant | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2017-02-19 |
| 1982008058 | William R Sharpe, Jr. Hospital | Counselor | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2014-10-17 |
| 1659772598 | William R Sharpe Jr Hospital | Clinical Neuropsychologist | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2014-09-10 |
| 1780816769 | Brittany Nicole Cross | Physician Assistant | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2009-08-10 |
| 1700048469 | Deep Yadava | Psychiatry & Neurology | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1437688223 | Steven Elliott Singer | General Practice | 804 Hampton Ct, Weston, FL 33326-2917 | 2017-06-06 |
| 1417190810 | David L Whetsell | General Practice | 24 Dogwood Ln, Weston, WV 26452-1584 | 2009-04-14 |
| 1346408481 | Urgentcare Oncall Inc | General Practice | 19140 S Hibiscus St, Weston, FL 33332-4418 | 2008-05-27 |
| 1841281789 | David Bruce Friend | General Practice | 64 Spruce Hill Rd, Weston, MA 02493-2134 | 2005-10-31 |
| 1306387303 | Healthpark Medical Center, Inc. | General Practice | 2300 N Commerce Pkwy, Suite 321, Weston, FL 33326-3254 | 2017-03-10 |
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|---|---|---|---|---|
| 1144747528 | Susan L Cavender M.d. Pllc | General Practice | 1115 Lee St E, Charleston, WV 25301-2412 | 2017-08-25 |
| 1396284428 | Chapmanville Primary Care Clinic | General Practice | 462 Main Street, Chapmanville, WV 25508 | 2017-02-22 |
| 1952855264 | Mountaineer Family Care Center | General Practice | 318 S Mountaineer Hwy, Thornton, WV 26440-7152 | 2016-08-04 |
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1376958058 | Nadezda Samples | General Practice | 3110 Maccorkle Ave Se Rm 58, Charleston, WV 25304-1210 | 2014-06-21 |
| 1932476249 | William Palmer Zitter | General Practice | 1637 Mccoy Rd, Huntington, WV 25701-4867 | 2011-11-30 |
| 1174806129 | Steven Ira Richman | General Practice | Hc 74 Box 98i, Hinton, WV 25951-9115 | 2011-09-26 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1184914947 | Todd R Myers Md LLC | General Practice | 1113 Washington St, Suite 203, Ravenswood, WV 26164-1020 | 2011-04-13 |
| 1295030674 | Capital Management Services Company | General Practice | 231 Capitol St, Suite 301, Charleston, WV 25301-2200 | 2011-01-17 |
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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.