Healthcare Provider Details

I. General information

NPI: 1942562004
Provider Name (Legal Business Name): MERCY CHUAH CHONG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MERCY CHUAH

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 W TECH RD STE 220
MIAMISBURG OH
45342-0956
US

IV. Provider business mailing address

PO BOX 933432
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 937-885-4475
  • Fax: 937-885-3670
Mailing address:
  • Phone: 937-641-3555
  • Fax: 937-641-4528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01079020A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number50457
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.131778
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: