EMERY J CHANG (NPI# 1639261654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639261654 |
| Entity Type | Individual |
| Full Name | EMERY J CHANG |
| Credential | MD |
| Practice Address |
1720 Cooks Hill Rd Pmg Sw Wa Centralia Gen Surg Centralia WA 98531-9071 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3607361195 |
| Mailing Telephone | 8663662983 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD00038868 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I NUMBER FOR PMG SWR | 0298161 | 01 |
| WA | 1639261654 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649221383 | Emery H Chang | Internal Medicine | 1399 Roxbury Dr, Ste 100, Los Angeles, CA 90035-4709 | 2006-05-15 |
| Street Address |
1720 COOKS HILL RD PMG SW WA CENTRALIA GEN SURG |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558349902 | Associated Surgeons of Washington | Specialist | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-01-05 |
| 1255963880 | Abigail Victoria Reed | Physician Assistant | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-02-11 |
| 1679830566 | Brittany Leigh Tabler | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2012-04-16 |
| 1942598180 | Huan Yan | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531 | 2011-07-20 |
| 1083916241 | Jacob Wayne Heck | Podiatrist | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2010-11-22 |
| 1447490370 | Providence Health & Service Washington | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2009-03-05 |
| 1659557478 | Susan Jean Amondson | Registered Nurse | 1720 Cooks Hill Rd, Centralia, WA 98531-9047 | 2008-01-10 |
| 1649313768 | Pacific Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 1720 Cooks Hill Rd, Centralia, WA 98531-9047 | 2007-02-15 |
| 1730246182 | James G Prestridge | Podiatrist | 1720 Cooks Hill Rd, Centralia, WA 98531-9047 | 2007-01-03 |
| 1104921915 | Western Washington Foot & Ankle Specialists, Inc | Podiatrist | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| 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 |
|---|---|---|---|---|
| 1114129558 | Robert Francis Oatfield | Surgery | 2641 Seminary Hill Rd, Centralia, WA 98531-8974 | 2007-06-05 |
| 1124029509 | Mark Alden Murfin Jr. | Surgery | 1063 Martin Luther King Dr, Centralia, IL 62801-3001 | 2005-08-09 |
| 1396288106 | Physician Services and Consulting, LLC | Surgery | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2016-11-28 |
| 1679830566 | Brittany Leigh Tabler | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2012-04-16 |
| 1942598180 | Huan Yan | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531 | 2011-07-20 |
| 1447490370 | Providence Health & Service Washington | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2009-03-05 |
| 1477503423 | Daniel Kingsley Lowe | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-05-11 |
| 1598714248 | Mark Gilbert Ropka | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-05-09 |
| 1568410447 | Sally Maria Ehlers | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-05-04 |
| 1881652139 | Atul Thakker | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-05-03 |
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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.