KENNETH CHANG (NPI# 1023051406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023051406 |
| Entity Type | Individual |
| Full Name | KENNETH CHANG |
| Credential | MD |
| Practice Address |
30 Medical Center Blvd Suite 202 Chester PA 19013-3955 |
| Mailing Address |
41 Cedar Hill Ln Media PA 19063-6309 |
| Practice Telephone | 6104478840 |
| Practice Fax Number | 6104478895 |
| Mailing Telephone | 6104478840 |
| Mailing Fax Number | 6104478895 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD062908L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053489997 | Kenneth S. Chang | Obstetrics & Gynecology | 3144 Kennedy Blvd., Jersey City, NJ 07306 | 2006-11-30 |
| 1700986171 | Kenneth Kiyol Chang | Dentist | 4026 W Olympic Blvd, Los Angeles, CA 90019 | 2006-09-25 |
| 1134236821 | Kenneth Kwan-hyun Chang | Ophthalmology | 6600 Kalanianaole Hwy Ste 114c, Honolulu, HI 96825-1273 | 2006-08-25 |
| 1467494674 | Kenneth C Chang | Dentist | 249 Baldwin Rd, Parsippany, NJ 07054-2007 | 2006-06-12 |
| 1003375312 | Kenneth Chang | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-03-16 |
| 1881181717 | Kenneth G Chang | Student in an Organized Health Care Education/Training Program | 1102 Barclay St, San Antonio, TX 78207-7161 | 2018-04-17 |
| 1932605755 | Kenneth Kuang-chun Chang | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2018-04-02 |
| 1609371970 | Kenneth Galen Chang | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2018-03-28 |
| 1750798351 | Kenneth Chang | Emergency Medicine | 23900 Katy Fwy, Katy, TX 77494-1323 | 2014-07-15 |
| 1952544355 | Kenneth H Chang | Surgery | 350 30th St, 430, Oakland, CA 94609-3424 | 2009-04-14 |
| Street Address |
30 MEDICAL CENTER BLVD SUITE 202 |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474291 | Sarah Ashby | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2020-03-28 |
| 1871131375 | Yori Ellen Cozen | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2019-12-16 |
| 1003324757 | Jessica Funari | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2018-01-16 |
| 1144766627 | Casey Marie Brown | Physician Assistant | 30 Medical Center Blvd, Pob1 Suite 305, Chester, PA 19013-3955 | 2017-01-09 |
| 1780031005 | Prospect Health Access Network, Inc. | Pediatrics | 30 Medical Center Blvd, 3 East, Chester, PA 19013-3955 | 2016-05-17 |
| 1275948499 | Hannah Kreiling | Anesthesiology | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2014-06-26 |
| 1518371756 | Stephanie Tanner Walsh | Pediatrics | 30 Medical Center Blvd, Pob1, Suite 205, Crozer Pediatrics, Chester, PA 19013-3955 | 2014-06-16 |
| 1255754198 | Abiodun Laoye | Internal Medicine | 30 Medical Center Blvd, Suite 404, Chester, PA 19013-3955 | 2014-01-29 |
| 1285057182 | Jonathan Matey | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Chester, PA 19013-3955 | 2014-01-28 |
| 1538582515 | Angela Papili Walker | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Pob-1 Suite 305, Chester, PA 19013-3955 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659844884 | Prime Md, PC | Internal Medicine | 115 Route 206, Chester, NJ 07930 | 2019-01-10 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
| 1306374137 | Rahul Patel | Internal Medicine | 1 Medical Center Blvd Dept Of, Chester, PA 19013-3902 | 2017-05-24 |
| 1306246640 | Oliver Winter | Internal Medicine | 61 Winthrop Rd, Chester, CT 06412-1036 | 2014-08-22 |
| 1154553568 | Joseph James Cillo | Internal Medicine | 26 Furnace Rd, Chester, NJ 07930-2080 | 2009-08-18 |
| 1205066123 | Nathan Spiegel | Internal Medicine | 32 Cooper Lane, Chester, NJ 07930 | 2009-07-27 |
| 1912115122 | Brian Michael Timura | Internal Medicine | 172 Green Mountain Tpke, Chester, VT 05143-8863 | 2007-05-19 |
| 1932245933 | Carl Lynn Pierce Jr. | Internal Medicine | 500 W 9th St, Chester, PA 19013-4038 | 2007-01-29 |
| 1952465239 | Christopher F Hannum | Internal Medicine | 920 Yarnall St, Chester, PA 19013-2652 | 2006-12-20 |
| Find all providers in CHESTER | ||||
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| 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.