CHAYOUNG SHOULDERS DO
NPI 1124862420
Student in an Organized Health Care Education/Training Program in Augusta, ME

Q: What is Chayoung Shoulders's NPI number?

The NPI number for Chayoung Shoulders is 1124862420. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Q: What is Chayoung Shoulders's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 21, 2024PECOS Enrolled

15 E CHESTNUT ST, AUGUSTA, ME 04330(207) 626-1561(207) 626-1849 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Chayoung Shoulders Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAYOUNG SHOULDERS DO (NPI 1124862420) is an individual student in an organized health care education/training program in Augusta, Maine, licensed in Maine (TP24070) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124862420

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCHAYOUNG SHOULDERSCredential: DO

Location Address15 E CHESTNUT STAugusta, ME 04330-5736

Mailing Address15 E Chestnut StAugusta, ME 04330-5736 · (207) 626-1561 · Fax (207) 626-1849

Phone(207) 626-1561

Fax(207) 626-1849

Sole ProprietorNo

Enumeration DateJune 21, 2024

NPPES CertifiedJune 21, 2024

✔ NPI 1124862420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in ME · TP24070

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

15 E CHESTNUT ST, Augusta, ME 04330

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chayoung Shoulders Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE M K ANDERSON MD

Family Medicine