MICHAEL CHANG (NPI# 1457688731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457688731 |
| Entity Type | Individual |
| Full Name | MICHAEL CHANG |
| Credential | M.D. |
| Practice Address |
104 Union Ave Ste 905 Syracuse NY 13203-1845 |
| Practice Telephone | 3157035017 |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2015-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
279202 | 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 |
| 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 |
| 1588640361 | Michael A Chang | Orthopaedic Surgery | 1211 N 16th Ave, Yakima, WA 98902-1347 | 2005-12-22 |
| Street Address |
104 UNION AVE STE 905 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063764249 | John P Marangola | Radiology | 306 Sedgwick Dr, Syracuse, NY 13203-1315 | 2012-10-11 |
| 1073803458 | Jennifer Nicole Taylor | Radiology | 102 Oakridge Cir, Syracuse, NY 13209-1718 | 2011-04-19 |
| 1023543295 | Atin Goel | Radiology | 750 E Adams St, Syracuse, NY 13210-2306 | 2017-04-26 |
| 1669906467 | Swati P Deshmane | Radiology | 750 E Adams St, Syracuse, NY 13210-1834 | 2017-04-18 |
| 1225473143 | Zhongxia Hu | Radiology | 750 E Adams St, Syracuse, NY 13210 | 2013-05-06 |
| 1396090866 | Mujtaba Mohammed | Radiology | 750 E Adams St, Syracuse, NY 13210 | 2012-07-19 |
| 1134408271 | Monda Lotfy Mansour Shehata | Radiology | 750 E Adams St, Syracuse, NY 13210-2306 | 2011-08-08 |
| 1265753784 | Amy Marcinkowski | Radiology | 301 Prospect Ave, Medical Education, Syracuse, NY 13203-1807 | 2010-06-18 |
| 1487886602 | Abdelmohsen Thabet Radwan Hussien | Radiology | 750 E Adams St, Syracuse, NY 13210-2306 | 2009-08-21 |
| 1619111234 | Marissa Lynne Mincolla | Radiology | 750 E Adams St, Syracuse, NY 13210-2342 | 2009-04-27 |
| Find all providers in SYRACUSE | ||||
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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.