MEDICARE: DOUGLAS J CHONKO DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	34.007558	OH
2	207X00000X	Orthopaedic Surgery Physician	34.007558	OH

General Provider Information

NPI Number	:	1659356822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS J CHONKO DO

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-2663
Fax Number	:	614-293-2053

Provider Business Practice Location Address
First Line	:	543 TAYLOR AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43203-1278
Country	:	US
Telephone Number	:	614-293-2663
Fax Number	:	614-293-2053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2005
Last Update Date	:	03/13/2026

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Directions to “ DOUGLAS J CHONKO DO” Practice Location

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