MARK K CHANG MD (NPI# 1053579912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053579912 |
| Entity Type | Organization |
| Organization Name | MARK K CHANG MD |
| Other Organization Name | MIDWEST SPINECARE |
| Practice Address |
1100 Joliet St Suite 104 Dyer IN 46311-1996 |
| Practice Telephone | 2198364955 |
| Mailing Telephone | 2198364955 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | MARK K CHANG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2198364955 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
036095817 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | 5930340001 | 01 |
| IL | 03609507 | 05 |
| Other Name | Type Code |
|---|---|
| MIDWEST SPINECARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003022476 | Mark K Chang Md | Orthopaedic Surgery | 1100 Joliet St, Ste 104, Dyer, IN 46311-1996 | 2007-05-15 |
| Street Address |
1100 JOLIET ST SUITE 104 |
| City | DYER |
| State | IN |
| Zip Code | 46311-1996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871561977 | Douglas Hoeksema | Physical Therapist | 1100 Joliet St, Suite 205, Dyer, IN 46311-1996 | 2006-03-14 |
| 1366894495 | Roland Saucier | Physical Therapist | 1100 Joliet St, 105, Dyer, IN 46311-1996 | 2016-07-13 |
| 1912360546 | Michelle Terwilliger | Nurse Practitioner | 1100 Joliet St, Suite 201, Dyer, IN 46311-1996 | 2016-03-31 |
| 1477801116 | Sarah K Martinez | Physical Therapist | 1100 Joliet St, Suite 105, Dyer, IN 46311-1996 | 2012-08-28 |
| 1093009516 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 1100 Joliet St, Suite 205, Dyer, IN 46311-1996 | 2011-06-01 |
| 1003022476 | Mark K Chang Md | Orthopaedic Surgery | 1100 Joliet St, Ste 104, Dyer, IN 46311-1996 | 2007-05-15 |
| 1871607507 | Mark K Chang | Orthopaedic Surgery | 1100 Joliet St, Ste 104, Dyer, IN 46311-1996 | 2006-08-19 |
| 1669486833 | Sara Jinane Stafford | Physical Therapist | 1100 Joliet St, Ste 105, Dyer, IN 46311-1996 | 2006-07-27 |
| 1902839525 | Samer Kassar | Internal Medicine | 1100 Joliet St, Suite 201, Dyer, IN 46311 | 2006-07-08 |
| 1750319679 | Back To Work, Inc. | Physical Therapist | 1100 Joliet St, Suite 105, Dyer, IN 46311-1996 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013229970 | Franciscan Physicians Hospital, LLC | Orthopaedic Surgery | 24 Joliet St, Suite 101, Dyer, IN 46311-1705 | 2010-07-08 |
| 1003022476 | Mark K Chang Md | Orthopaedic Surgery | 1100 Joliet St, Ste 104, Dyer, IN 46311-1996 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548768815 | Spine Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1265, Indianapolis, IN 46204-3250 | 2018-01-31 |
| 1174021950 | Joint Replacement Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1272, Indianapolis, IN 46204-3250 | 2018-01-26 |
| 1508220633 | Indiana Spine Group, PC | Orthopaedic Surgery | 747 E. County Line Rd., Suite L, Greenwood, IN 46143-1082 | 2016-04-05 |
| 1144667635 | Indiana Spine Group, PC | Orthopaedic Surgery | 1115 N. Ronald Reagan Pkwy., Suite 148, Avon, IN 46123-6913 | 2013-05-24 |
| 1457534497 | Orthopaedic Spine Center PC | Orthopaedic Surgery | 5255 E.stop 11 Road, Suite 250, Indianapolis, IN 46237-6343 | 2007-12-13 |
| 1689872152 | Spine & Musculoskeletal Center PC | Orthopaedic Surgery | 2020 E Columbus Drive, Suite B, East Chicago, IN 46312-3078 | 2007-07-06 |
| 1366654410 | Michael J. Hartman, Md, PC | Orthopaedic Surgery | 801 Mac Arthur Blvd, Suite 304, Munster, IN 46321 | 2007-05-03 |
| 1356485825 | Southern Indiana Orthopedics, Inc | Orthopaedic Surgery | 633 East Tipton, Seymour, IN 47274-2192 | 2007-02-17 |
| 1851494371 | Northwest Indiana Spinal Surgery, P.C. | Orthopaedic Surgery | 9235 Broadway, Merrillville, IN 46410-7046 | 2006-09-07 |
| 1407898570 | Gregory S. Hellwarth | Orthopaedic Surgery | 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 | 2006-06-12 |
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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.