DR. PETER H CHANG (NPI# 1003926189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003926189 |
| Entity Type | Individual |
| Full Name | DR. PETER H CHANG |
| Credential | DO |
| Practice Address |
501 N Graham Suite 220 Portland OR 97227-2014 |
| Mailing Address |
Po Box 821350 Vancouver WA 98682-0030 |
| Practice Telephone | 5032803418 |
| Mailing Telephone | 3606875221 |
| Mailing Fax Number | 3606660466 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
OP00002095 | WA | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
DO26736 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213128 | 05 | |
| WA | MEDICAID | 1123090 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003181488 | Peter Chang | Anesthesiology | 1818 Holland Brook Rd, Branchburg, NJ 08853-4217 | 2012-03-18 |
| 1205128964 | Peter Chang | Pharmacist | 8105 E Oak Ridge Cir, Anaheim, CA 92808-1933 | 2011-05-12 |
| 1770743197 | Peter Travis Riad Chang | Hospitalist | 606 W Kennedy Blvd, Tampa, FL 33606-1415 | 2008-06-10 |
| 1275733867 | Peter Chang | Urology | 330 Brookline Ave # Rabb440, Boston, MA 02215-5400 | 2007-07-20 |
| 1063563021 | Peter Chang | Internal Medicine | 2400 Panorama Ter, Los Angeles, CA 90039-2538 | 2007-01-16 |
| 1487762217 | Peter Chang | Psychologist | 4171 Piedmont Ave, Suite 205, Oakland, CA 94611-5175 | 2006-08-29 |
| 1518928126 | Peter Chang | Radiology | 6402 Dry Cliff Cv, Austin, TX 78731-3918 | 2006-03-31 |
| 1285623009 | Peter Chang | Internal Medicine | 6565 West Loop Sth, Ste 300, Bellaire, TX 77401 | 2005-10-14 |
| 1780688028 | Peter P. Chang | Family Medicine | 2142 Sunset Dr, San Angelo, TX 76904-6829 | 2005-06-01 |
| 1184144115 | Peter Chang | Orthopaedic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-21 |
| Street Address |
501 N GRAHAM SUITE 220 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598735490 | William Broughton Long IIi | Surgery | 501 N Graham, Suite # 580, Portland, OR 97227 | 2006-01-24 |
| 1972750669 | J Rafe Sales, Md PC | Specialist | 501 N Graham, Suite 250, Portland, OR 97227 | 2008-08-25 |
| 1639261142 | Everywomans Health PC | Obstetrics & Gynecology | 501 N Graham, #445, Portland, OR 97227-2002 | 2006-09-29 |
| 1174583264 | Amy Smith | Physician Assistant | 501 N Graham, Ste 580, Portland, OR 97227-2003 | 2006-03-24 |
| 1962461442 | Scott P Sherry | Physician Assistant | 501 N Graham, Ste 580, Portland, OR 97227-2003 | 2006-03-22 |
| 1134197213 | Duane A Burroughs | Internal Medicine | 501 N Graham, #100, Portland, OR 97227 | 2006-03-14 |
| 1588635437 | Ameen Ishak Ramzy | Surgery | 501 N Graham, Suite 580, Portland, OR 97227 | 2006-01-30 |
| 1659342509 | Kelly Dean Gubler | Surgery | 501 N Graham, Suite #580, Portland, OR 97227 | 2006-01-30 |
| 1326018953 | Andrew Jacob Michaels | Surgery | 501 N Graham, Suite 580, Portland, OR 97227 | 2006-01-25 |
| 1558331363 | Seth David Izenberg | Surgery | 501 N Graham, Suite #580, Portland, OR 97227 | 2006-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194090456 | Patrick David Evers | Pediatrics | 3181 Sw Sam Jackson Park Rd # Cdrc3134, Portland, OR 97239-3079 | 2012-03-19 |
| 1952620791 | Melissa Yamauchi | Pediatrics | 300 N Graham St Ste 250, Portland, OR 97227-1666 | 2010-05-18 |
| 1184613960 | Laurie Armsby | Pediatrics | 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 | 2005-10-14 |
| 1932463486 | Shilpi Garg | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2012-06-29 |
| 1073723656 | Erin Janelle Madriago | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-05-23 |
| 1083824031 | Misty Lynn Carlson | Pediatrics | 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 | 2007-05-22 |
| 1194731679 | Mary Jo Rice | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1407862907 | Victor D. Menashe | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1164437653 | Seshadri Balaji | Pediatrics | 3181 Sw Sam Jackson Park Rd, Cdrc-p, Portland, OR 97239-3011 | 2006-07-31 |
| 1437164936 | Grant Hartley Burch | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-07-31 |
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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.