OLIVER CHANG (NPI# 1790055291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790055291 |
| Entity Type | Individual |
| Full Name | OLIVER CHANG |
| Credential | M.D. |
| Practice Address |
3659 S Miami Ave Ste 4002 Miami FL 33133-4231 |
| Mailing Address |
1300 S Miami Ave Unit 2301 Miami FL 33130-4478 |
| Practice Telephone | 3059154663 |
| Practice Fax Number | 3056755854 |
| Mailing Telephone | 7138595709 |
| Mailing Fax Number | 3056755854 |
| Enumeration Date | 2011-12-31 |
| Last Update Date | 2017-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Q0888 | TX | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME116714 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804508 | Oliver Chang | Occupational Therapist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2018-09-12 |
| 1740504554 | Oliver Chang | Pathology | 1959 Ne Pacific St, Box 356100, Seattle, WA 98195-6100 | 2010-03-23 |
| Street Address |
3659 S MIAMI AVE STE 4002 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649335639 | Jonathan Robert Gottlieb | Orthopaedic Surgery | 3659 S Miami Ave Ste 4002, Miami, FL 33133-4231 | 2006-12-27 |
| 1972028884 | Minimally Invasive Spine Center of South Florida, LLC | Orthopaedic Surgery | 3659 S Miami Ave Ste 4002, Miami, FL 33133-4231 | 2017-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952561763 | Juan Rodolfo Mella-catinchi | Surgery | 1120 Nw 14th St Fl 4r310, Miami, FL 33136-2107 | 2008-06-15 |
| 1508880733 | Deirdre Margaret Marshall | Surgery | 6360 Sunset Dr, Miami, FL 33143-4836 | 2006-07-27 |
| 1194758078 | Constantine Nicholas Kitsos | Surgery | 9000 Ne 2nd Ave, Miami, FL 33138 | 2006-07-07 |
| 1447299722 | Alan Sherwin Rapperport | Surgery | 6280 Sunset Drive, Unit 501, Miami, FL 33143 | 2006-06-05 |
| 1639708589 | Zuri Plastic Surgery | Surgery | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-04-03 |
| 1770134231 | Samira Caraballo | Surgery | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2019-09-26 |
| 1609309491 | Anne-sophie Lessard | Surgery | 1120 Nw 14th St, Crb 4th Floor, Miami, FL 33136 | 2017-04-07 |
| 1700242617 | Carlos Medina Md Pa | Surgery | 11760 Bird Rd Ste 606, Miami, FL 33175-8100 | 2016-01-07 |
| 1730580457 | John C Oeltjen, Md, LLC | Surgery | 8740 Sw 88th St, Suite 218, Miami, FL 33176-2212 | 2014-09-12 |
| 1588000335 | Lauren Michelle Yarholar | Surgery | 1120 Nw 14th St, Miami, FL 33136-2107 | 2013-05-21 |
| Find all providers in MIAMI | ||||
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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.