MICHAEL SUK CHANG (NPI# 1356724173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356724173 |
| Entity Type | Individual |
| Full Name | MICHAEL SUK CHANG |
| Credential | M.D |
| Practice Address |
3555 Netherland Ave Bronx NY 10463-1641 |
| Mailing Address |
300 E 23rd St Apt 7f New York NY 10010-4780 |
| Practice Telephone | 6468235226 |
| Mailing Telephone | 6468235226 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 299859 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851777510 | Michael Chang | Dentist | Meddac-k/ Tmc, Attn: Dental, Unit#15609, Apo, AP 96224-5609 | 2015-08-05 |
| 1114346301 | Michael William Chang | Dentist | 12450 East Fwy Ste 140, Houston, TX 77015 | 2014-04-15 |
| 1689976805 | Michael Chang | Dentist | 501 N Frederick Ave Ste 109, Gaithersburg, MD 20877-2507 | 2010-11-19 |
| 1457688731 | Michael Chang | Radiology | 104 Union Ave Ste 905, Syracuse, NY 13203-1845 | 2009-11-07 |
| 1184894305 | Michael Jung-chan Chang | Dentist | 7011 Orangethorpe Ave, #100, Buena Park, CA 90621-3321 | 2008-03-04 |
| 1598967945 | Michael S Chang | Dentist | 184 2nd Avenue, Suite 1a, New York, NY 10003-5709 | 2007-06-05 |
| 1154522910 | Michael S Chang | Orthopaedic Surgery | 1462 S. Dobson Road, Suite 201, Mesa, AZ 85202 | 2007-05-30 |
| 1972683290 | Michael L Chang | Emergency Medicine | 2138 Mcclendon St, Houston, TX 77030-2110 | 2006-10-17 |
| 1699723015 | Michael Y Chang | Anesthesiology | 2700 Sunset Rd, B18, Las Vegas, NV 89120 | 2006-05-05 |
| 1215997218 | Michael W Chang | Dentist | 14405 W Colfax Ave # 142, Lakewood, CO 80401-3247 | 2006-03-24 |
| Street Address |
3555 NETHERLAND AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10463-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528369378 | Anna Avagyan | Registered Nurse | 3555 Netherland Ave, Apt. 3e, Bronx, NY 10463-1641 | 2010-11-10 |
| 1699124941 | Andrew Caronia | Family Medicine | 3555 Netherland Ave, Apt 2f, Bronx, NY 10463-1641 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
| Find all providers in zip 10463 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927701 | Darnell Cain | Emergency Medicine | 3411 Wayne Ave Fl 6, Bronx, NY 10467-2552 | 2016-04-14 |
| 1114389780 | David Jan Moore | Emergency Medicine | 6015 Tyndall Ave, Bronx, NY 10471-1812 | 2016-03-23 |
| 1295117950 | Neil Flannery Haidorfer | Emergency Medicine | 3450 Wayne Ave Apt 9c, Bronx, NY 10467-2511 | 2015-06-18 |
| 1619310125 | Adelle Sharon Iusim | Emergency Medicine | 1400 Pelham Pkwy S Bldg 6, Bronx, NY 10461 | 2013-04-15 |
| 1174882757 | Mary Agnes Newell | Emergency Medicine | 183rd St. and Third Ave., St. Barnabas Hospital Emergency Department, Bronx, NY 10457 | 2012-05-16 |
| 1407120645 | Andrew Roy Williams | Emergency Medicine | 1400 Pelham Pkwy South. Building 6 Suite 1b25, Jacobi Medical Center Emergency Dept., Bronx, NY 10461-1138 | 2012-03-06 |
| 1336427517 | Jeremy Moriarty | Emergency Medicine | 600 E 233rd St Dept of Emergency Medicine, Bronx, NY 10466-2604 | 2011-07-22 |
| 1154618353 | Jordana Kritzer | Emergency Medicine | 600 E 233rd St Fl 2, Bronx, NY 10466-2604 | 2011-07-07 |
| 1013211168 | Jason Peter Boulware | Emergency Medicine | 2353 Hughes Ave, Apt 1a, Bronx, NY 10458-8267 | 2011-01-04 |
| 1568774313 | Carol Gleeson | Emergency Medicine | 4238 Vireo Ave, Bronx, NY 10470-2412 | 2010-07-09 |
| Find all providers in BRONX | ||||
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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.