DR. PHILIP CHANG (NPI# 1083142087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083142087 |
| Entity Type | Individual |
| Full Name | DR. PHILIP CHANG |
| Credential | DMD |
| Practice Address |
263 Farmington Ave Farmington CT 06030-0001 |
| Mailing Address |
11713 Rutgers Dr Richmond VA 23233-1697 |
| Practice Telephone | 8606792000 |
| Mailing Telephone | 8045629852 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932544673 | Philip Chang | Counselor | 325 Garden Cmn, Livermore, CA 94551-2459 | 2013-05-08 |
| 1588771505 | Philip Minsuk Chang | Dentist | 1611 Crenshaw Blvd Ste C, Torrance, CA 90501-7124 | 2006-08-24 |
| 1467416669 | Philip Ws Chang | Dentist | 1613 Nuuanu Ave, Suite #a-10, Honolulu, HI 96817-3276 | 2006-04-14 |
| 1790318343 | Philip En Chang | Pharmacist | 200 E Brannon Rd, Nicholasville, KY 40356-8059 | 2020-02-21 |
| 1184161192 | Philip You-hua Chang | Internal Medicine | 1405 S High St, Columbus, OH 43207-1043 | 2017-01-28 |
| 1902282221 | Philip Chang | Clinical Nurse Specialist | 1201 W 38th St, Austin, TX 78705-1006 | 2015-08-10 |
| 1467866400 | Philip Junho Chang | Physical Medicine & Rehabilitation | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2014-06-18 |
| 1205265527 | Philip Chang | Dentist | 650 S Lincoln Ave Ste 102, Corona, CA 92882-3540 | 2013-11-06 |
| 1174865844 | Philip Chang | Internal Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2013-03-20 |
| 1780821827 | Philip Minder Chang | Internal Medicine | 1600 Sw Archer Rd Box 100296, Gainesville, FL 32610-5310 | 2009-01-12 |
| Street Address |
263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879519 | Michael Joseph Giordano | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-05-24 |
| 1891394995 | Ewa Jaszczolt | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-20 |
| 1295333458 | Brianne Catherine Bischoff | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-10 |
| 1023622073 | Michael John Arciszewski | Perfusionist | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-09-06 |
| 1073126199 | Esha Bhatt | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06032-1956 | 2020-08-28 |
| 1689286932 | Margaret Darin | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-18 |
| 1174133656 | Rosa Raquel Huivin | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-09 |
| 1336758051 | Sahar Zamani | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-07-28 |
| 1083222954 | Gabriela Maria Parra | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| 1780292680 | Bastian Andres Rojas Espinoza | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949459 | Tamara Wittrock | Student in an Organized Health Care Education/Training Program | 5111 Robin Ln, Farmington, MN 55024-2007 | 2020-07-14 |
| 1700401759 | William Cody Alley | Student in an Organized Health Care Education/Training Program | 1136 Heather Cir, Farmington, UT 84025-4305 | 2020-06-15 |
| 1497370456 | Tanner Winger | Student in an Organized Health Care Education/Training Program | 1405 Fairway Cir, Farmington, UT 84025-2817 | 2020-06-15 |
| 1154945855 | Shelby Ann Oswald | Student in an Organized Health Care Education/Training Program | 19976 Butternut Trl, Farmington, MN 55024-1475 | 2020-05-29 |
| 1417579434 | Herbert E Downton Ramos | Student in an Organized Health Care Education/Training Program | Surgery Residency Program, 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-05-13 |
| 1710507272 | Ethan A Miller | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine - Graduate Medical Education, 263 Farmington Avenue - Lm068, Farmington, CT 06030-1921 | 2020-04-24 |
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1265061808 | Benjamin Mucci | Student in an Organized Health Care Education/Training Program | 43 Portage Xing, Farmington, CT 06032-2737 | 2020-04-06 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
Please comment or provide details below to improve the information on DR. PHILIP CHANG.
| 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.