BENJAMIN BANSUN CHANG (NPI# 1023008117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023008117 |
| Entity Type | Individual |
| Full Name | BENJAMIN BANSUN CHANG |
| Credential | MD |
| Practice Address |
391 Myrtle Ave. Suite 5 Albany NY 12208-3412 |
| Mailing Address |
391 Myrtle Ave. Suite 5 Albany NY 12208-3797 |
| Practice Telephone | 5182625640 |
| Practice Fax Number | 5182629413 |
| Mailing Telephone | 5182625640 |
| Mailing Fax Number | 5182629413 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2017-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
1697666 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
169766 | NY | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 169766 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01022251 | 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 |
| 1952344905 | Benjamin C Chang | Pediatrics | 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 | 2006-06-14 |
| 1598756793 | Benjamin Chang | Ophthalmology | 450 Endo Blvd, Garden City, NY 11530-6723 | 2005-11-04 |
| 1669467023 | Benjamin Gee Chang | Internal Medicine | 2 Crosfield Ave, Suite 318, West Nyack, NY 10994-2226 | 2005-09-13 |
| Street Address |
391 MYRTLE AVE. SUITE 5 |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018478 | The Vascular Group, Pllc | Radiology | 391 Myrtle Ave., Suite 5, Albany, NY 12208-3412 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211365 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 110b, Albany, NY 12208-1744 | 2018-07-12 |
| 1205007333 | Albany Vascular Specialist Center | Surgery | 2300 Dawson Rd, Suite 101, Albany, GA 31707-2803 | 2008-03-17 |
| 1073716049 | Adriana Laser | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2007-06-07 |
| 1134242308 | Phoebe Putney Memorial Hospital | Surgery | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2007-04-10 |
| 1356342281 | Francis N Herrbold | Surgery | 425 W 3rd Ave, Albany, GA 31701-1941 | 2005-08-02 |
| 1891277000 | Albany Medical College | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2018-09-04 |
| 1265852008 | Yoni Samocha | Surgery | 47 New Scotland Ave, Department of Surgery, Albany, NY 12208-3412 | 2014-04-20 |
| 1891023222 | Vascular Health and Wellness, LLC | Surgery | 2300 Dawson Rd, Suite 100, Albany, GA 31707-2803 | 2009-11-23 |
| 1588821482 | Xzabia Annette Caliste | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2008-05-19 |
| 1427230150 | Joe Harris Morgan IIi | Surgery | 2002 Palmyra Rd, Suite 202, Albany, GA 31701-1591 | 2007-12-05 |
| Find all providers in ALBANY | ||||
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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.