BENJAMIN CHANG


Address: 3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104-4306
Phone: 2156622737

BENJAMIN CHANG (NPI# 1043246820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043246820
Entity Type Individual
Full Name BENJAMIN CHANG
Credential MD
Practice Address 3400 Civic Center Blvd
1-330s Perelman Center
Philadelphia
PA 19104-4306
Mailing Address 3400 Civic Center Blvd
1-330s Perelman Center
Philadelphia
PA 19104-5127
Practice Telephone 2156622737
Practice Fax Number 2156153424
Mailing Telephone 2156622737
Enumeration Date 2006-06-24
Last Update Date 2017-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery MD055882L PA Allopathic & Osteopathic Physicians
N 2086S0105X Surgery
Specialization: Surgery of the Hand
MD055882L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0015344590004 05

Other Providers BENJAMIN CHANG

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
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
1023008117 Benjamin Bansun Chang Radiology 391 Myrtle Ave., Suite 5, Albany, NY 12208-3412 2005-10-28
1669467023 Benjamin Gee Chang Internal Medicine 2 Crosfield Ave, Suite 318, West Nyack, NY 10994-2226 2005-09-13

Office Location

Street Address 3400 CIVIC CENTER BLVD
1-330S PERELMAN CENTER
City PHILADELPHIA
State PA
Zip Code 19104-4306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027727 Joel D Glickman Internal Medicine 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 2005-07-18
1841891058 Abigail Brooke Horowitz Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-11-04
1073129532 Samuel Kovell Physician Assistant 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-21
1306451695 Farzad Nourollah-zadeh Oral Medicinist 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-13
1609492917 Mosetta Harris Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-06-23
1063032530 Monique Maria Tee Internal Medicine 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-24
1609495290 Katharine Freeman Michel Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 2020-04-13
1609495498 Taha Samir Ghouleh Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-11
1952930554 Danielle Marie Lamarra Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-06
1982232658 Jasmine Hwang Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-03-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295116473 Shagun Aggarwal Plastic Surgery 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 2015-06-14
1518385004 Khang Trong Nguyen Plastic Surgery 3400 Civic Center Blvd Fl 14, Philadelphia, PA 19104-5127 2014-04-01
1255696415 Richard Hieu Trung Huynh Plastic Surgery 4190 City Ave Ste 409, Philadelphia, PA 19131-1629 2012-07-12
1821382029 Christine Marie Jones Plastic Surgery 3401 N Broad St Fl 4, Philadelphia, PA 19140-5189 2011-06-06
1962652198 David Anthony Ehrlich Plastic Surgery 1601 Walnut St Ste 208, Philadelphia, PA 19102-2902 2008-09-24
1568006963 Stc Pediatrics LLC Plastic Surgery 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-30
1033693718 Revolution Ps, P.C. Plastic Surgery 1601 Walnut St Ste 208, Philadelphia, PA 19102-2902 2018-09-19
1861975542 Temple Faculty Practice Plan, Inc Plastic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-10
1871097758 Daniel Mazzaferro Plastic Surgery 3400 Civic Center Blvd Fl Tower14, Philadelphia, PA 19104 2018-03-23
1316314388 Ibrahim Karaca Basaran Plastic Surgery 333 Cottman Ave, Philadelphia, PA 19111-2434 2015-08-26
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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