MS. JENNIFER CHANG - CHING VAN


Address: 148 N 8th St, Department of Surgery, Philadelphia, PA 19107-2418
Phone: 2156255348

MS. JENNIFER CHANG - CHING VAN (NPI# 1013228832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013228832
Entity Type Individual
Full Name MS. JENNIFER CHANG - CHING VAN
Credential DPM
Practice Address 148 N 8th St
Department of Surgery
Philadelphia
PA 19107-2418
Practice Telephone 2156255348
Practice Fax Number 2156294904
Mailing Telephone 2156255348
Mailing Fax Number 2156294904
Enumeration Date 2010-06-25
Last Update Date 2017-02-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist SC006237 PA Podiatric Medicine & Surgery Service Providers
N 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
SC006237 PA Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
SC006237 PA Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
SC006237 PA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 102932319002 05

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1760097554 Jennifer Lee Van Student in an Organized Health Care Education/Training Program 2450 S Vine St, Denver, CO 80210-5264 2020-09-09

Office Location

Street Address 148 N 8TH ST
DEPARTMENT OF SURGERY
City PHILADELPHIA
State PA
Zip Code 19107-2418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659390540 Khurram H Khan Podiatrist 148 N 8th St, Philadelphia, PA 19107 2006-07-19
1326645706 Grant Schindler Student in an Organized Health Care Education/Training Program 148 N 8th St, Philadelphia, PA 19107-2418 2020-10-08
1659987519 Arden Miho Harada Student in an Organized Health Care Education/Training Program 148 N 8th St, Philadelphia, PA 19107-2418 2020-09-16
1568083806 Michelle Ann Garcia Student in an Organized Health Care Education/Training Program 148 N 8th St, Philadelphia, PA 19107-2418 2020-04-28
1790278851 Cole Barton Student in an Organized Health Care Education/Training Program 148 N 8th St, Philadelphia, PA 19107-2418 2018-06-12
1720578107 Sara Solar Student in an Organized Health Care Education/Training Program 148 N 8th St, Philadelphia, PA 19107-2418 2018-05-11
1699115303 Laura Elizabeth Sansosti Podiatrist 148 N 8th St, Philadelphia, PA 19107-2418 2013-06-26
1710228622 James Andrew Furmato Podiatrist 148 N 8th St, Philadelphia, PA 19107-2418 2013-03-04
1083916720 Ebony Lashay Love Podiatrist 148 N 8th St, Philadelphia, PA 19107-2418 2010-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326656208 Delaney Wickramage Podiatrist 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 2020-07-16
1659834604 Anthony Errico Podiatrist 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 2019-04-08
1508388794 Farhad Foroudi Podiatrist 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 2017-07-10
1720460884 Muhaiminu Hossain Podiatrist 240 N Broad St, Philadelphia, PA 19102-1121 2015-06-25
1497161293 Soyun Victoria Park Podiatrist 6628 Souder St, Philadelphia, PA 19149-2206 2014-07-01
1679988620 Brett Thomas Williams Podiatrist 1934 Waverly St, C204, Philadelphia, PA 19146-1456 2014-06-29
1588007876 Complete Foot & Ankle L.L.C. Podiatrist 2350 Tremont St, #410, Philadelphia, PA 19115-5030 2013-04-17
1457601494 Maikel Griages Podiatrist 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 2012-09-18
1457606865 David Portonova Podiatrist 235 North Broad Street, Philadelphia, PA 19102 2012-07-23
1649568056 Nekeisha Alexander Abdul-hakim Podiatrist 6635 Chew Ave, Philadelphia, PA 19119 2011-07-19
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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