Ted T Chang (NPI# 1871740332, PAC ID# 9830327626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1871740332 |
| PAC ID by PECOS | 9830327626 |
| Professional Enrollment ID | I20140714001911 |
| Full Name | Ted T Chang |
| Organization Legal Name | SUMMIT RADIOLOGY SERVICES PC |
| Address |
1412 Milstead Ave Ne Conyers GA 30012-3877 |
| Phone Number | 7709183000 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 3577454024 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110030 | CARTERSVILLE MEDICAL CENTER |
| 110023 | GORDON HOSPITAL |
| 110125 | FAIRVIEW PARK HOSPITAL |
| 110225 | PIEDMONT MOUNTAINSIDE HOSPITAL INC |
| 110091 | PIEDMONT ROCKDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15 Reinhardt College Pkwy, Suite 105, Canton, GA 30114-5259 | 7707203353 | SUMMIT RADIOLOGY SERVICES PC |
| 100 Market Place Blvd, Cartersville, GA 30121-8718 | 6787215555 | SUMMIT RADIOLOGY SERVICES PC |
| 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 7703821530 | SUMMIT RADIOLOGY SERVICES PC |
| 707 Old Daltn Ellij Rd, Chatsworth, GA 30705-2029 | 7065172064 | SUMMIT RADIOLOGY SERVICES PC |
| 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 7709183000 | SUMMIT RADIOLOGY SERVICES PC |
| 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 7707867053 | SUMMIT RADIOLOGY SERVICES PC |
| 200 Industrial Blvd, Dublin, GA 31021-2981 | 6789057053 | SUMMIT RADIOLOGY SERVICES PC |
| 309 Highland Pkwy, Suite 100, East Ellijay, GA 30540-6782 | 7066351680 | SUMMIT RADIOLOGY SERVICES PC |
| 1266 Hwy 515 S, Jasper, GA 30143-4872 | 7706077339 | SUMMIT RADIOLOGY SERVICES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 96% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 83% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | SUMMIT RADIOLOGY SERVICES PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley L Fricke | Diagnostic Radiology | Summit Radiology Services PC | 10 Bowen Ct, Cartersville, GA 30120-2494 |
| Clifford N Grossman | Interventional Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Kevin Miller | Diagnostic Radiology | Summit Radiology Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Derek B Pollard | Diagnostic Radiology | Summit Radiology Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Michelle Ross | Diagnostic Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Adam Kyle Deal | Diagnostic Radiology | Summit Radiology Services PC | 10 Bowen Ct, Cartersville, GA 30120-2494 |
| Daniel Andrew Ortiz | Diagnostic Radiology | Summit Radiology Services PC | 10 Bowen Ct, Cartersville, GA 30120-2494 |
| Robert E Kim | Diagnostic Radiology | Summit Radiology Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Qiao Zhou | Interventional Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Charissa Faith Baker | Nurse Practitioner | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Street Address |
1412 MILSTEAD AVE NE |
| City | CONYERS |
| State | GA |
| Zip | 30012-3877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Lowman White | Emergency Medicine | Walker Lake Emergency Group PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Babajide Falana | Hospitalist | Walker Lake Physician Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Cheryl H Mitcham | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| William Lievens | Neurology | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Ramona Davis | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Bobby A Smith | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Harold D Carlson | Interventional Cardiology | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Jesse Rizkalla | Internal Medicine | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Jimmie Dale Cannon Jr. | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Kenneth Lyda | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CONYERS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Ted T 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.