DR. BENJAMIN C CHANG (NPI# 1952344905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952344905 |
Entity Type | Individual |
Full Name | DR. BENJAMIN C CHANG |
Credential | M.D. |
Practice Address |
98-1079 Moanalua Road Suite 500 Aiea HI 96701-4794 |
Practice Telephone | 8084881943 |
Mailing Telephone | 8084881943 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2007-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD-2687 | HI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HI | 03568301 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
1780896399 | Benjamin Jonah Roda Chang | Acupuncturist | 301 W Holly St, Suite M3, Bellingham, WA 98225-4358 | 2007-05-04 |
1154401883 | Benjamin Minsoo Chang | Physical Medicine & Rehabilitation | 4037 81st St, Elmhurst, NY 11373-1393 | 2006-10-17 |
1952780652 | Benjamin Weizer Chang | Nurse Practitioner | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2015-05-27 |
1275744195 | Benjamin M. Chang | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-05-24 |
1639185143 | Benjamin Chang | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-08-01 |
1043246820 | Benjamin Chang | Plastic Surgery | 3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104-4306 | 2006-06-24 |
1598756793 | Benjamin Chang | Ophthalmology | 450 Endo Blvd, Garden City, NY 11530-6723 | 2005-11-04 |
1023008117 | Benjamin Bansun Chang | Radiology | 391 Myrtle Ave., Suite 5, Albany, NY 12208-3412 | 2005-10-28 |
1669467023 | Benjamin Gee Chang | Internal Medicine | 2 Crosfield Ave, Suite 318, West Nyack, NY 10994-2226 | 2005-09-13 |
Street Address |
98-1079 MOANALUA ROAD SUITE 500 |
City | AIEA |
State | HI |
Zip Code | 96701-4794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316927692 | Jeff T Healy | Plastic Surgery | 98-1079 Moanalua Road, Suite 590, Aiea, HI 96701-4716 | 2006-01-20 |
1528223971 | Russell N Harada Md Inc | Specialist | 98-1079 Moanalua Road, Suite 620, Aiea, HI 96701-4716 | 2008-07-25 |
1104980382 | Raymond Wee | Ophthalmology | 98-1079 Moanalua Road, Suite 470, Aiea, HI 96701-4723 | 2006-12-21 |
1528133410 | Ryan Tien-si Chung | Pediatrics | 98-1079 Moanalua Road, Suite 555, Aiea, HI 96701-4794 | 2006-11-23 |
1760590988 | Gregg T Kokame | Ophthalmology | 98-1079 Moanalua Road, #470, Aiea, HI 96701-4723 | 2006-08-28 |
1508877192 | Michael J Dimitrion Md Inc | Internal Medicine | 98-1079 Moanalua Road, Suite 420, Aiea, HI 96701 | 2006-08-10 |
1962446609 | Pearl City Medical Associates, Inc. | Family Medicine | 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 | 2006-06-15 |
1871536011 | Alvin S Fuse | Internal Medicine | 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 | 2006-06-14 |
1417990664 | Bridgit K L Rovner | Pediatrics | 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 | 2006-06-14 |
1750324919 | Michael S Mihara | Internal Medicine | 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 | 2006-06-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
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Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912102690 | Donald Fb Char | Pediatrics | 5650 Halepa Pl, Honolulu, HI 96821-2118 | 2007-06-20 |
1497701114 | Dwight H Matsumura | Pediatrics | 333 Uluniu St, 103, Kailua, HI 96734-2525 | 2006-05-25 |
1225086259 | Naro Luke Torres | Pediatrics | 579 Farrington Hwy, Suite 203, Kapolei, HI 96707-2027 | 2006-05-04 |
1467820985 | Frank R. Baum, Md, Inc. | Pediatrics | 200 Kalepa Pl, Kahului, HI 96732-2471 | 2015-09-15 |
1245655794 | Marni Lum Dezzani | Pediatrics | 3150 Monsarrat Ave Ste 200, Honolulu, HI 96815-4488 | 2014-02-20 |
1336571405 | James Katsuya Nakamura | Pediatrics | 1319 Punahou St, Suite 900, Honolulu, HI 96826-1001 | 2013-07-31 |
1447542949 | Christopher Michael Daly | Pediatrics | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2011-05-03 |
1346547221 | Darrett Choy Md LLC | Pediatrics | 275 Ponahawai St, Suite #106, Hilo, HI 96720-3074 | 2011-02-11 |
1134315005 | Brian Wilson Md L.L.C. | Pediatrics | 275 Ponahawai St, Suite 106, Hilo, HI 96720-3074 | 2007-09-24 |
1770794554 | Kasi Meredith Chu | Pediatrics | 755 Scott Cir, Jbphh, HI 96853-5399 | 2007-05-24 |
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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.