MARK WR CHUNG (NPI# 1972673416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972673416 |
| Entity Type | Individual |
| Full Name | MARK WR CHUNG |
| Credential | MD |
| Practice Address |
40 Aulike St Suite 412 Kailua HI 96734 |
| Practice Telephone | 8082622424 |
| Practice Fax Number | 8082634882 |
| Mailing Telephone | 8082622424 |
| Mailing Fax Number | 8082634882 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4560 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 01592702 | 05 | |
| HI | HMSA | 4560 | 01 |
| HI | HMSA | 17095 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841316833 | Mark Allen Chung | Optometrist | 8205 Santa Monica Blvd, Suite 15, West Hollywood, CA 90046-5967 | 2007-03-21 |
| 1386797462 | Mark Lee Chung | Dentist | 50 Holyoke St, Holyoke, MA 01040-2709 | 2007-01-19 |
| 1740290378 | Mark Michael Chung | Internal Medicine | 3791 Katella Ave, #103, Los Alamitos, CA 90720 | 2006-08-08 |
| Street Address |
40 AULIKE ST SUITE 412 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601753 | Michael K Sakuda | Dentist | 40 Aulike St, Suite 214, Kailua, HI 96734-2758 | 2005-07-07 |
| 1942658448 | Randall Paglinawan | Counselor | 40 Aulike St, Suite 217, Kailua, HI 96734-2758 | 2016-05-25 |
| 1205207305 | Annie H. Nguyen Psyd LLC | Clinic/Center | 40 Aulike St, Suite 411, Kailua, HI 96734-2758 | 2015-10-14 |
| 1851703607 | Elizabeth Keolani Taitano, Ph.d., LLC | Psychologist | 40 Aulike St, Suite 411, Kailua, HI 96734-2758 | 2014-05-28 |
| 1679907075 | Wells Mental Health Services LLC | Counselor | 40 Aulike St, Suit 411, Kailua, HI 96734-2758 | 2013-08-21 |
| 1376884429 | S.t.a.r.r.(sobrietytraining & Recovery Resources) Inc. | Community/Behavioral Health | 40 Aulike St, Suite 217, Kailua, HI 96734-2758 | 2013-03-13 |
| 1720366545 | Forrest Alden Kaiao Wells | Counselor | 40 Aulike St, Suit 411, Kailua, HI 96734-2758 | 2011-07-27 |
| 1215229646 | Angela Renee Gough | Psychiatry & Neurology | 40 Aulike St, Suite 312, Kailua, HI 96734-2758 | 2011-05-03 |
| 1407153661 | Janice Miriam Hellreich | Speech-Language Pathologist | 40 Aulike St, Suite 311, Kailua, HI 96734-2758 | 2011-02-23 |
| 1386961571 | Koolau Audiology & Hearing Aid Services LLC | Audiologist | 40 Aulike St, Suite 211, Kailua, HI 96734-2758 | 2010-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588082259 | Sarah Canyon | Family Medicine | 328 Uluniu St Ste 103, Kailua, HI 96734 | 2014-03-31 |
| 1588711048 | Lehualani Kealohi Concepcion | Family Medicine | 602 Kailua Rd Ste 200, Kailua, HI 96734-2841 | 2007-01-05 |
| 1699859314 | Patricia L. Borman | Family Medicine | 642 Ulukahiki St Ste 300, Kailua, HI 96734-4439 | 2006-10-25 |
| 1962591552 | Dale M. Glenn | Family Medicine | 602 Kailua Rd, 2nd Floor, Kailua, HI 96734-2841 | 2006-10-12 |
| 1811088065 | Mark J Ferri | Family Medicine | 122 Oneawa St, 101, Kailua, HI 96734-2524 | 2006-09-27 |
| 1164446050 | Jonathan Pederson | Family Medicine | 580 Uluhaku St, Kailua, HI 96734-4411 | 2006-07-26 |
| 1497725683 | Shaun P Berry | Family Medicine | 571 Kaimalino St, Kailua, HI 96734-1611 | 2006-01-23 |
| 1053398784 | Carol P. Healy | Family Medicine | 660 Kailua Rd, The Medical Corner, Kailua, HI 96734 | 2005-12-23 |
| 1730179441 | Dipak Dinanath Nadkarni | Family Medicine | 1108 Koohoo Pl, Kailua, HI 96734-3275 | 2005-10-24 |
| 1295341550 | Canyon Primary Care LLC | Family Medicine | 328 Uluniu St Ste 103, Kailua, HI 96734-2542 | 2020-09-21 |
| Find all providers in KAILUA | ||||
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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.