CHARLIE CHIH LEE CHANG (NPI# 1417996109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417996109 |
| Entity Type | Individual |
| Full Name | CHARLIE CHIH LEE CHANG |
| Credential | M.D. |
| Practice Address |
500 N Kobayashi Suite A Webster TX 77598-4820 |
| Mailing Address |
Po Box 58538 Webster TX 77598-8538 |
| Practice Telephone | 2817241860 |
| Practice Fax Number | 2817241861 |
| Mailing Telephone | 2817241860 |
| Mailing Fax Number | 2817241861 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
L6318 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 180519402 | 05 | |
| TX | 180519403 | 05 | |
| TX | BCBSTX | 8DU593 | 01 |
| Street Address |
500 N KOBAYASHI SUITE A |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245228741 | Mahmood O Dweik | Internal Medicine | 500 N Kobayashi, Suite A, Webster, TX 77598-4820 | 2005-10-10 |
| 1811557838 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 500 N Kobayashi, Webster, TX 77598-4707 | 2019-06-20 |
| 1477098796 | Caitlin Bennett | Physician Assistant | 500 N Kobayashi, Webster, TX 77598-4707 | 2016-12-21 |
| 1750733812 | Alicia Garrison | Physician Assistant | 500 N Kobayashi, Suite A, Webster, TX 77598-4707 | 2016-07-12 |
| 1902254451 | Clear Lake Cardiology Pllc | Internal Medicine | 500 N Kobayashi, Ste # A, Webster, TX 77598-4707 | 2016-05-25 |
| 1881076867 | Akil Williams | Nurse Practitioner | 500 N Kobayashi, Suite A, Webster, TX 77598-4707 | 2015-06-25 |
| 1841687548 | Dipal Patel | Nurse Practitioner | 500 N Kobayashi, Webster, TX 77598-4707 | 2015-04-20 |
| 1144614322 | Infectious Diseases Clinic At Clear Lake Specialties Pllc | Internal Medicine | 500 N Kobayashi, Suite A, Webster, TX 77598-4707 | 2015-03-25 |
| 1104251149 | Sphinx Pharmacy Group Webster | Pharmacy | 500 N Kobayashi, Suite E, Webster, TX 77598-4820 | 2013-09-10 |
| 1578809828 | Kobayashi Diagnostics & Therapeutics Pllc | Clinic/Center | 500 N Kobayashi, Suite F, Webster, TX 77598-4820 | 2012-12-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032363 | Endocrinology Clinic At Clear Lake Specialties Pllc | Internal Medicine | 600 N Kobayashi Ste 312, Webster, TX 77598-4841 | 2018-11-21 |
| 1063858272 | Travis Goodale | Internal Medicine | 600 N Kobayashi Ste 312, Webster, TX 77598 | 2013-05-14 |
| 1801079769 | Jyothi Mamidi Juarez | Internal Medicine | 205 E Medical Center Blvd, Suite 2260, Webster, TX 77598-4376 | 2007-12-13 |
| 1942406970 | Allassia Yvette Burns | Internal Medicine | 250 Blossom St, Ste 400, Webster, TX 77598-4204 | 2007-06-26 |
| 1477507044 | Muhammad Ashfaque Arian | Internal Medicine | 250 Blossom St, Ste 400, Webster, TX 77598-4204 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197816 | Diabetes & Endocrinology Clinic of South Texas Pllc | Internal Medicine | 620 N Ed Carey Dr, Harlingen, TX 78550-7912 | 2020-09-05 |
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1093235350 | Endo Telehealth Pllc | Internal Medicine | 12518 Cutten Rd Ste B, Houston, TX 77066-1804 | 2017-06-27 |
| 1851827331 | Texas Associates of Endocrinology & Diabetes Pa | Internal Medicine | 942 Pheasant Dr, Allen, TX 75013-4891 | 2017-05-03 |
| 1366984288 | Kateryna Komarovskiy, Md, Pllc | Internal Medicine | 150 Pine Forest Dr # 103, Shenandoah, TX 77384-5302 | 2016-11-09 |
| 1265894604 | John W. Richard, Md, Pllc | Internal Medicine | 4604 Sebago Trl, Plano, TX 75093-3394 | 2016-03-24 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1649646357 | Southeast Texas Self-management of Diabetes | Internal Medicine | 3030 North St Ste 560, Beaumont, TX 77702-1424 | 2015-08-17 |
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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.