DR. SAN KUO CHANG (NPI# 1821382730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821382730 |
| Entity Type | Individual |
| Full Name | DR. SAN KUO CHANG |
| Credential | M.D. |
| Practice Address |
1121 Nw 64th Terrrace Suite 220 Gainesville FL 32605 |
| Practice Telephone | 3523313583 |
| Practice Fax Number | 3523313669 |
| Mailing Telephone | 3523313583 |
| Mailing Fax Number | 3523313669 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2015-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME116830 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
TRN15977 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1121 NW 64TH TERRRACE SUITE 220 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487146791 | Potomac Behavioral Health LLC | Psychiatry & Neurology | 7731 Milton Cir, Gainesville, VA 20155-3638 | 2018-06-01 |
| 1295278505 | Heather Sheila Hardcastle | Psychiatry & Neurology | 6604 Sw 35th Way, Gainesville, FL 32608-5268 | 2016-11-18 |
| 1427497908 | Sarah Jean Diekman | Psychiatry & Neurology | 2717 Sw 98th Dr, Gainesville, FL 32608-8679 | 2013-06-18 |
| 1407294184 | Crystal Mojne Wilson | Psychiatry & Neurology | Univeristy of Florida 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-04 |
| 1447508460 | Gary C Hankins | Psychiatry & Neurology | 3326 Nw 5th Ave, Gainesville, FL 32607-2408 | 2012-08-23 |
| 1437445475 | Rakesh Amin | Psychiatry & Neurology | University of Florida 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2011-06-28 |
| 1205121977 | Lalita Devi Ramnaraine | Psychiatry & Neurology | University of Florida 1600 Sw Archer, Gainesville, FL 32610-3003 | 2011-06-10 |
| 1568765618 | Evelyn K Jones Md Pa | Psychiatry & Neurology | 310 Nw 76th Drive, Suite A, Gainesville, FL 32607-6661 | 2010-12-13 |
| 1710293675 | Naomi Park | Psychiatry & Neurology | University of Florida Dept of Psychiatry, Gainesville, FL 32610-0001 | 2010-08-29 |
| 1225359938 | Joel Sebastian Fernandes | Psychiatry & Neurology | 1600 Sw 16th Ave, University of Florida, Gainesville, FL 32610-0256 | 2010-06-16 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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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.