DR. ANDREW CHANG (NPI# 1083242192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083242192 |
| Entity Type | Individual |
| Full Name | DR. ANDREW CHANG |
| Credential | MD |
| Practice Address |
1190 Waianuenue Ave Hilo HI 96720-2089 |
| Practice Telephone | 8089324215 |
| Mailing Telephone | 8089324215 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699285965 | Andrew Hyun Soo Chang | Specialist/Technologist | 1770 Hillebrant Pl, Santa Clara, CA 95050-3750 | 2017-10-02 |
| 1396702874 | Andrew C Chang | Specialist | 300 Sierra College Dr, Ste.105, Grass Valley, CA 95945-5082 | 2006-04-27 |
| 1003808494 | Andrew Chang | Ophthalmology | 18350 Roscoe Blvd, Suite 101, Northridge, CA 91325-4109 | 2005-08-22 |
| 1780296756 | Andrew Chang | Physical Therapist | 11490 Alpharetta Hwy Ste 200, Roswell, GA 30076-3866 | 2020-08-20 |
| 1841816691 | Andrew Lee Chang | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-17 |
| 1457970501 | Andrew Davey Chang | Student in an Organized Health Care Education/Training Program | 2351 Clay St Ste 380, San Francisco, CA 94115-1931 | 2020-04-09 |
| 1821641317 | Andrew Chang | Physical Therapist | 4613 Duke St Ste B, Alexandria, VA 22304-2559 | 2019-07-23 |
| 1518451970 | Andrew Chang | Family Medicine | 2055 Kimball Ave Ste 101, Waterloo, IA 50702-5047 | 2018-06-19 |
| 1225534738 | Andrew Chang | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz # Bcm620, Houston, TX 77030-3411 | 2018-04-03 |
| 1508253477 | Andrew Chang | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2015-04-18 |
| Street Address |
1190 WAIANUENUE AVE |
| City | HILO |
| State | HI |
| Zip Code | 96720-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672388 | Ninette Hart | Anesthesiology | 1190 Waianuenue Ave, Hilo, HI 96720-2020 | 2005-07-07 |
| 1144835018 | Chayata Wongpojanee Otsuka | Nurse Practitioner | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-09-08 |
| 1447889761 | James Garard Finney | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-07 |
| 1255960159 | Shelley Kirkham | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2094 | 2020-04-03 |
| 1265061352 | Adrianne Haack | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-02 |
| 1154959245 | Laura Hernandez | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-01 |
| 1174159834 | Island Professional Anesthesia LLC | Anesthesiology | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-03-13 |
| 1336789874 | Kau Hospital | Clinic/Center | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-01-13 |
| 1417593831 | Chad Lm Ahia | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2019-11-20 |
| 1770134223 | David Saltman | Internal Medicine | 1190 Waianuenue Ave, Hilo, HI 96720-2094 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1649719170 | Tiffany Nguyen | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Ste 100, Hilo, HI 96720-4205 | 2017-02-16 |
| 1053771659 | Eva Payette | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave., Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2016-02-25 |
| 1184053985 | Sarah Gaskell | Student in an Organized Health Care Education/Training Program | 7 Wainohia St, Hilo, HI 96720-2775 | 2013-11-02 |
| 1922361203 | Melissa K Kuwahara | Student in an Organized Health Care Education/Training Program | 75 Puuhonu Place 202, Hilo, HI 96720-1032 | 2012-06-21 |
| 1073720215 | Leigh Asayo Fujishige | Student in an Organized Health Care Education/Training Program | 432 Ehehene Pl, Hilo, HI 96720-3141 | 2007-05-17 |
| 1649209883 | Timothy A Eakins | Student in an Organized Health Care Education/Training Program | 200 W Kawili St, Hilo, HI 96720-4075 | 2006-07-01 |
| 1346850039 | Crystal Ann O'brien | Student in an Organized Health Care Education/Training Program | 1045 Kilauea Ave Ste A, Hilo, HI 96720-4291 | 2020-08-06 |
| 1578184636 | Ghesline Marie Hewitt | Student in an Organized Health Care Education/Training Program | 88 Kanoelehua Ave Ste A204, Hilo, HI 96720-4670 | 2020-04-29 |
| Find all providers in HILO | ||||
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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.