Mike S Chiang (NPI# 1720063100, PAC ID# 6305905720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1720063100 |
| PAC ID by PECOS | 6305905720 |
| Professional Enrollment ID | I20081030000165 |
| Full Name | Mike S Chiang |
| Organization Legal Name | UROLOGICAL CLINIC OF VALDOSTA |
| Address |
3294 N Oak St Ext Valdosta GA 31605 |
| Phone Number | 2292411188 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1976 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1456419837 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| 110234 | SGMC BERRIEN CAMPUS |
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| 111332 | BROOKS COUNTY HOSPITAL |
| 111326 | SGMC LANIER CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 3294 N Oak St Ext, Valdosta, GA 31605 | 2292411188 | UROLOGICAL CLINIC OF VALDOSTA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 83% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 0% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 0% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 76% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | UROLOGICAL CLINIC OF VALDOSTA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Blanton Jr. | Physician Assistant | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Patrick Michael Parker | Urology | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Bradley G Ridge | Physician Assistant | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Street Address |
3294 N OAK ST EXT |
| City | VALDOSTA |
| State | GA |
| Zip | 31605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Blanton Jr. | Physician Assistant | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Patrick Michael Parker | Urology | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Bradley G Ridge | Physician Assistant | Urological Clinic of Valdosta | 3294 N Oak St Ext, Valdosta, GA 31605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Lawton Davis | Physician Assistant | Brian C. Griner, Md, LLC | 3301 N Oak St Ext, Valdosta, GA 31605 |
| Seth Courson | Internal Medicine | Brian C. Griner, Md, LLC | 3301 N Oak St Ext, Valdosta, GA 31605 |
| Carlos I Ortiz | Optometry | Georgia-florida Eye Centers, P.C. | 3404 Greystone Way, Valdosta, GA 31605-1048 |
| Michael J Magbalon | Ophthalmology | Georgia-florida Eye Centers, P.C. | 3404 Greystone Way, Valdosta, GA 31605-1048 |
| Susan R Gordon | Clinical Social Worker | Ar Psychiatric and Counseling Center | 3312 N Oak St Ext, Bldg D, Valdosta, GA 31605-1066 |
| Michele L Walker | Clinical Social Worker | Ar Psychiatric and Counseling Center | 3312 N Oak St Ext, Bldg D, Valdosta, GA 31605-1066 |
| Anil K Gupta | Psychiatry | Ar Psychiatric and Counseling Center | 3312 N Oak St Ext, Bldg D, Valdosta, GA 31605-1066 |
| Lyndi Farnam | Clinical Social Worker | 3354 Greystone Way, Valdosta, GA 31605-1096 | |
| Fauzia K Durrani | Allergy/immunology | 3308 Greystone Way, Valdosta, GA 31605-1096 | |
| Robertus M Wolters | Physical Therapy | Innovative Rehab Solutions, LLC | 3368 Greystone Way, Valdosta, GA 31605-1096 |
| Find all physicians in zip 31605 | |||
| City | VALDOSTA |
| Zip Code | 31605 |
| Specialty | UROLOGY |
| City + Specialty | VALDOSTA + UROLOGY |
Please comment or provide details below to improve the information on Mike S Chiang.
| 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.