MYUNGWON CHRISTINE CHANG (NPI# 1417248477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417248477 |
Entity Type | Individual |
Full Name | MYUNGWON CHRISTINE CHANG |
Credential | MD |
Practice Address |
7250 Clearvista Dr Ste 100 Indianapolis IN 46256 |
Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
Practice Telephone | 3176215673 |
Enumeration Date | 2011-04-26 |
Last Update Date | 2020-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 01076534A | IN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201359300 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
112 Hospital Ln Ste 100, Danville, IN 461222600 | 3177453740 | 3177453816 |
Street Address |
7250 CLEARVISTA DR STE 100 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407495906 | Rachel C Ehrman | Physician Assistant | 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256-4640 | 2019-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
Find all providers in zip 46256 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
1407293566 | Harry Dwight Brickley Jr. | Surgery | 1037 Tuckahoe, Indianapolis, IN 46260 | 2013-05-30 |
1992044572 | John Duncan Macdougall | Surgery | 7202 Dean Rd, Indianapolis, IN 46240-3628 | 2013-02-02 |
1548524176 | Jeffrey Lastfogel | Surgery | 350 N Meridian St Unit 807, Indianapolis, IN 46204-1773 | 2012-06-28 |
1003178898 | Kyle Norris Seudeal | Surgery | 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 | 2012-06-08 |
1679832463 | Kalyan Chowdary Gorantla | Surgery | 8402 Harcourt Rd Ste 815, Indianapolis, IN 46260-2057 | 2012-05-14 |
1124306824 | Amanda Rae Stram | Surgery | 1426 E Vermont St, Indianapolis, IN 46201-3045 | 2011-07-28 |
1790071280 | Sanjay Mohanty | Surgery | 550 University Blvd Ste 1295, Indianapolis, IN 46202-5149 | 2011-06-22 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46256 |
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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.