LAWRENCE D CHANG M.D., PA (NPI# 1023287331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023287331 |
| Entity Type | Organization |
| Organization Name | LAWRENCE D CHANG M.D., PA |
| Practice Address |
774 Christiana Road Suite 101 Newark DE 19713 |
| Practice Telephone | 3023550005 |
| Practice Fax Number | 3027096161 |
| Mailing Telephone | 3023550005 |
| Mailing Fax Number | 3027096161 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | MRS. THERESA BOLTE (BILLING) |
| Authorized Official Telephone | 3023550005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | C10004311 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | MEDICARE GROUP | G00259 | 01 |
| DE | 0000562701 | 05 |
| Street Address |
774 CHRISTIANA ROAD SUITE 101 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932131265 | John Robert Pollard | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-4221 | 2006-07-07 |
| 1477029353 | Justin Fleegle | Physician Assistant | 774 Christiana Road, Suite 202, Newark, DE 19713 | 2018-10-18 |
| 1497137491 | First State Ent Association Inc | Otolaryngology | 774 Christiana Road, Neuroscience Building Ste B4, Newark, DE 19713-4236 | 2015-06-25 |
| 1720326242 | Yadira Velazquez-rodriguez | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713 | 2013-01-17 |
| 1255622676 | Justin Paul Martello | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-4221 | 2011-04-20 |
| 1174783237 | Jason M Silversteen | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-0000 | 2008-06-12 |
| 1407014095 | Alison L Potter | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-4221 | 2008-05-30 |
| 1831368141 | Kyo A Kim M.d. P.a. | Plastic Surgery | 774 Christiana Road, Suite 101, Newark, DE 19713 | 2008-02-21 |
| 1902906860 | Teresa M. Kitko | Physician Assistant | 774 Christiana Road, Suite 202, Newark, DE 19713 | 2006-09-22 |
| 1073611968 | Pawan Rastogi | Neurological Surgery | 774 Christiana Road, Suite 202, Newark, DE 19713 | 2006-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831368158 | David D Zabel M.d., P.a | Plastic Surgery | 550 Stanton- Christiana Rd, Suite 202, Newark, DE 19713 | 2008-02-21 |
| 1326242744 | Joseph J Thornton | Plastic Surgery | 774 Christiana Rd Ste 101, Newark, DE 19713-4248 | 2007-06-11 |
| 1073653317 | Delaware Plastic & Recon Surgery | Plastic Surgery | One Centurian Dr, Suite 301, Newark, DE 19713-2127 | 2007-02-07 |
| 1073669750 | Abdollah Malek | Plastic Surgery | One Centurian Dr., Suite 301, Newark, DE 19713-2127 | 2007-01-26 |
| 1265549380 | Katheryn Warren | Plastic Surgery | E62 Omega Drive, Omega Professional Center, Newark, DE 19713-2061 | 2006-08-24 |
| 1689287781 | Jennifer Latteri | Plastic Surgery | 774 Christiana Rd Ste 101, Newark, DE 19713-4248 | 2020-08-28 |
| 1528614021 | Special LLC | Plastic Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1386007789 | Nikki Castel | Plastic Surgery | 140 Bergen St, Suite E1620, Newark, NJ 07103-2425 | 2016-04-01 |
| 1013207117 | Jonathan Sarik | Plastic Surgery | 1 Centurian Dr, Newark, DE 19713-2137 | 2011-04-11 |
| 1629391495 | Ulysses Scarpidis, M.d., P.C. | Plastic Surgery | 140 Bergen St, Suite E1620, Newark, NJ 07103-2425 | 2010-03-09 |
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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.