Provider Demographics
NPI:1699952119
Name:CHUNG, WOOSIK MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:WOOSIK
Middle Name:MICHAEL
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E 19TH AVE STE 6100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1255
Mailing Address - Country:US
Mailing Address - Phone:303-322-2206
Mailing Address - Fax:303-861-0191
Practice Address - Street 1:1601 E 19TH AVE STE 6100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1255
Practice Address - Country:US
Practice Address - Phone:303-322-2206
Practice Address - Fax:303-861-0191
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060814207X00000X
CO47682207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO76958566Medicaid
COP01638568Medicare PIN
COC306067Medicare PIN
CO478725ZLF7Medicare PIN