Hernan R Chang (NPI# 1891720629, PAC ID# 2163413881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1891720629 |
| PAC ID by PECOS | 2163413881 |
| Professional Enrollment ID | I20040525001529 |
| Full Name | Hernan R Chang |
| Organization Legal Name | JACKSONVILLE MULTISPECIALTY GROUP, LLC |
| Address |
3627 University Blvd S Suite 615 Jacksonville FL 32216-7401 |
| Phone Number | 9043991623 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 3476550591 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 | 9043991623 | JACKSONVILLE MULTISPECIALTY GROUP, LLC |
| Organization Legal Name | JACKSONVILLE MULTISPECIALTY GROUP, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Griffin | Geriatric Medicine | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Helen Sesco | Nurse Practitioner | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Samantha Ann Lance | Nurse Practitioner | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Oscar E Rodas | Internal Medicine | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Divya Lakshmi Seval | Internal Medicine | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Mohammad F Taj | Internal Medicine | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Holly Noelle Anderson | Physician Assistant | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Mohammad R Ayoub | Internal Medicine | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Thomas Thommi | Internal Medicine | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Jacksonville, FL 32216-7401 |
| Street Address |
3627 UNIVERSITY BLVD S SUITE 615 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32216-7401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Yeykal | General Surgery | Neptune Beach Surgical Specialists LLC | 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 |
| Eugene Griffin | Geriatric Medicine | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Helen Sesco | Nurse Practitioner | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Marwan Shaykh | Obstetrics/gynecology | 3627 University Blvd S, Suite 450, Jacksonville, FL 32216-4238 | |
| Daniel C Mcdyer | Obstetrics/gynecology | Florida Woman Care LLC | 3627 University Blvd S, Suite 340, Jacksonville, FL 32216-4294 |
| Marsha L Lachaud | Obstetrics/gynecology | Memorial Family Practice Associates, LLC | 3627 University Blvd S, Suite 200, Jacksonville, FL 32216-4256 |
| Wendell Hiebert Williams Jr. | Pulmonary Disease | Cisca Pulmonary Critical Care Inc | 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 |
| Lorrie Bielen | Qualified Audiologist | Advanced Otolaryngology Services Pa | 3627 University Blvd S, Suite 210, Jacksonville, FL 32216-4256 |
| Samantha Ann Lance | Nurse Practitioner | Jacksonville Multispecialty Group, LLC | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-7401 |
| Samantha R Hanes | Nurse Practitioner | Memorial Family Practice Associates, LLC | 3627 University Blvd S, Suite 300, Jacksonville, FL 32216-4294 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
| Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Find all physicians in zip 32216 | |||
| City | JACKSONVILLE |
| Zip Code | 32216 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSONVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Hernan R Chang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.