DR. CHUL CHANG (NPI# 1194760157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194760157 |
| Entity Type | Individual |
| Full Name | DR. CHUL CHANG |
| Credential | M.D. |
| Practice Address |
400 Medical Park Dr Watervliet MI 49098-9225 |
| Mailing Address |
450 Medical Park Dr Watervliet MI 49098-8531 |
| Practice Telephone | 2694632449 |
| Mailing Telephone | 2694636900 |
| Mailing Fax Number | 2694636900 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | CC043583 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM - BANGOR | 110H010030 | 01 |
| MI | 2589390 | 05 | |
| MI | BLUECROSSBLUESHIELDOFMI | 1101102151 | 01 |
| MI | 3208317 | 05 | |
| MI | MEDICARE - BANGOR | 0M55810 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629394374 | Chul H Chang | Dentist | 11395 Atlantic Ave, Lynwood, CA 90262-2485 | 2010-04-20 |
| Street Address |
400 MEDICAL PARK DR |
| City | WATERVLIET |
| State | MI |
| Zip Code | 49098-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643644 | Denise A Frazee | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2019-01-24 |
| 1780153403 | Lisa Sutton | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1871063552 | Steven Vandenbosch | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1861961542 | Rodney Russell | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-25 |
| 1649749490 | Megan Mcquillan | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-21 |
| 1366911455 | Cynthia Marie Forrester | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1518436500 | Renee Marie Hardman | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1902375082 | Eric Triezenberg | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-18 |
| 1982173217 | Michelle Bendewald | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| 1386113744 | Karol Paul | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154586451 | Alfonso Generalao Llanto | Family Medicine | 3973 M140, Watervliet, MI 49098 | 2008-07-25 |
| 1568644052 | Lakeland Community Hospital Watervliet | Family Medicine | 400 Medical Park Drive, Watervliet, MI 49098 | 2007-11-27 |
| 1609910744 | Nilda D Orzame Md Pllc | Internal Medicine | 3881 North M-140 Hwy, Watervliet, MI 49098 | 2007-02-19 |
| 1750484556 | Alfonso G Llanto Md PC | General Practice | 3973 M 140, Watervliet, MI 49098 | 2006-09-07 |
| 1285891473 | Community Hospital | Surgery | 450 Medical Park Dr Ste 200, Watervliet, MI 49098-8531 | 2008-05-16 |
| 1962480228 | Lope Alvaran Vitangcol Jr. | Surgery | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2006-01-06 |
| 1265733356 | Amelia Fajardo Family Medical Clinic PC | General Practice | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2010-11-05 |
| 1306033329 | Community Hospital | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2007-10-03 |
| 1760418198 | Abbas Syed | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2006-06-25 |
| 1790733293 | Donald F. Brooks | Specialist | 450 Medical Park Dr, Suite # 400, Watervliet, MI 49098-8531 | 2006-05-05 |
| Find all providers in zip 49098 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237359 | Rachna Shankar | Specialist | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2013-07-12 |
| 1750831624 | Sara E Heidelmark | Specialist | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2016-10-04 |
| 1891177945 | Kayla Stockwell | Specialist | 32 Cohoes Rd, Watervliet, NY 12189-1811 | 2015-06-25 |
| 1841689742 | Stephanie Malette | Specialist | 91 2nd Ave, 2nd Floor, Watervliet, NY 12189-3913 | 2015-01-15 |
| 1760587067 | Razaali H Mamdani | Specialist | 1500 2nd Ave, Watervliet, NY 12189-2800 | 2006-09-13 |
| 1790733293 | Donald F. Brooks | Specialist | 450 Medical Park Dr, Suite # 400, Watervliet, MI 49098-8531 | 2006-05-05 |
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|---|---|---|---|---|
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| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 49098 |
Please comment or provide details below to improve the information on DR. CHUL 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.