MAI LEE CHANG (NPI# 1114479003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114479003 |
| Entity Type | Individual |
| Full Name | MAI LEE CHANG |
| Credential | PA-C |
| Practice Address |
1544 Timberlake Rd Saint Paul MN 55117-3946 |
| Practice Telephone | 6515582191 |
| Mailing Telephone | 6515582191 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
12128 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711041 | Mai Chang | Counselor | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2018-12-07 |
| 1518211317 | Mai Yia Chang | Social Worker | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2012-10-31 |
| Street Address |
1544 TIMBERLAKE RD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55117-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821149964 | West Side Community Health Services, Inc. | Clinic/Center | 1544 Timberlake Rd, Saint Paul, MN 55117-3946 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309992 | Katrina Gregor | Social Worker | Po Box 17370 Lot 537, St. Paul, MN 55117 | 2019-04-10 |
| 1083160352 | Miracle Home Health Care, Inc. | Home Health | 55 Lyton Place, Saint Paul, MN 55117 | 2016-08-28 |
| 1871958827 | Roxanne Marie Cruciani | Physical Therapy Assistant | 41 East County Road C, #211, Little Canada, MN 55117 | 2015-12-17 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1235564352 | Jennifer Ann Bertolatus | Counselor | 1585 Rice Street, St. Paul, MN 55117 | 2013-09-09 |
| 1851670400 | Healthy Community Services Agency, Inc | Home Health | 1096 Rice St., St. Paul, MN 55117 | 2011-08-15 |
| 1609184639 | Ondrea Perlman | Advanced Practice Midwife | 91 Viking Drive West, Little Canada, MN 55117 | 2010-09-24 |
| 1710126107 | Have A Heart Home Health Group, LLC | Home Health | 1973 Sloan Place, Suite 70, Maplewood, MN 55117 | 2009-02-09 |
| 1508052424 | Integratiavecare Vadnais Heights LLC | Pharmacy | 5 East County Road B, Suite #2, Little Canada, MN 55117 | 2007-09-25 |
| 1174728257 | Step Therapies, Inc. | Specialist | 75 W Viking Drive, Suite 101, Little Canada, MN 55117 | 2007-06-18 |
| Find all providers in zip 55117 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1003258690 | Jenny Rebecca Kluznik | Physician Assistant | 1619 Dayton Ave Ste 205, Saint Paul, MN 55104 | 2013-07-23 |
| 1538439534 | Meghan Eileen Goff | Physician Assistant | 212 7th St E, Apt 204, Saint Paul, MN 55101-2373 | 2012-01-06 |
| 1003899527 | Christopher Lawrence Kaye | Physician Assistant | 640 Jackson Street, Saint Paul, MN 55101 | 2005-11-29 |
| 1578113932 | Alyssa Shenyeng Moualee | Physician Assistant | 1239 Payne Ave, Saint Paul, MN 55130-3667 | 2019-09-18 |
| 1790338754 | Mikaela Pierson | Physician Assistant | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-07-18 |
| 1508425711 | Sopida N/a Wunder | Physician Assistant | 1983 Sloan Pl Ste 11, Saint Paul, MN 55117-2004 | 2019-06-11 |
| 1780159533 | Andrew Kenneth Gernand | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2595 | 2018-10-08 |
| 1205350204 | Soua Vang | Physician Assistant | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 | 2017-08-01 |
| 1588184634 | Katharine Elizabeth Boyd | Physician Assistant | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2017-06-20 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55117 |
Please comment or provide details below to improve the information on MAI LEE 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.