Provider Demographics
NPI:1518955467
Name:SANTIAGO O. CHING, M.D., INC.
Entity Type:Organization
Organization Name:SANTIAGO O. CHING, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANTIAGO
Authorized Official - Middle Name:O
Authorized Official - Last Name:CHING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-283-9093
Mailing Address - Street 1:PO BOX 3143
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-7143
Mailing Address - Country:US
Mailing Address - Phone:740-283-9093
Mailing Address - Fax:740-282-9087
Practice Address - Street 1:1 ROSS PARK BLVD
Practice Address - Street 2:STE. #203
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2681
Practice Address - Country:US
Practice Address - Phone:740-283-9093
Practice Address - Fax:740-282-9087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35032927207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00060962OtherRAILROAD MEDICARE
OH0200704Medicaid
OHC00953Medicare UPIN
OH9341321Medicare PIN