COLIN E. CHANG (NPI# 1114922986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114922986 |
| Entity Type | Individual |
| Full Name | COLIN E. CHANG |
| Credential | M.D. |
| Practice Address |
2605 E. Creek's Edge Dr. Bloomington IN 47401 |
| Mailing Address |
550 S Landmark Ave Bloomington IN 47403-3239 |
| Practice Telephone | 8123552300 |
| Practice Fax Number | 8123552316 |
| Mailing Telephone | 8123552300 |
| Mailing Fax Number | 8123552316 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2016-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01045412A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200188940 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932631603 | Colin Chang | Chiropractor | 8322 Lakeshore Trail East Dr, Apt. 913, Indianapolis, IN 46250-4641 | 2017-03-31 |
| Street Address |
2605 E. CREEK'S EDGE DR. |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811182298 | Ima, Inc. | Clinic/Center | 2605 E. Creek's Edge Dr., Bloomington, IN 47401 | 2007-09-10 |
| 1831194828 | James W. Lafollette | Family Medicine | 2605 E. Creek's Edge Dr., Bloomington, IN 47401 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255857926 | Kare Clinic | Internal Medicine | 1696 W Hennessey St, Bloomington, IN 47403-4645 | 2017-08-15 |
| 1669756060 | Dhanasarn Mongkolsmai | Internal Medicine | 2206 Berrywood Ln, Bloomington, IL 61704-2448 | 2011-10-04 |
| 1982906566 | Guy H Waldo | Internal Medicine | 9133 S Front Nine Drive, Bloomington, IN 47401-8151 | 2010-12-02 |
| 1154556843 | Primary Care Specialists, LLC | Internal Medicine | 2 Airline Dr, Suite 500, Bloomington, IL 61704-3433 | 2009-05-25 |
| 1790922201 | John Leeper Mcnay Jr. | Internal Medicine | 2032 S. Ramsey Dr., Bloomington, IN 47401-7153 | 2009-01-21 |
| 1790947539 | Jared A Frazin | Internal Medicine | 9332 Rich Rd, Bloomington, MN 55437-2074 | 2008-07-01 |
| 1114124575 | Joseph Michael Mackey | Internal Medicine | 1011 West Second Street, Bloomington, IN 47403-2216 | 2007-06-29 |
| 1588867386 | Virgil D. Short | Internal Medicine | 326 Fairway Dr, Bloomington, IL 61701-3462 | 2007-06-08 |
| 1013086792 | Daniel R Berg Md PC | Internal Medicine | 2620 North Walnut Street, Suite 400, Bloomington, IN 47404 | 2006-11-07 |
| 1386736023 | Jerry Antonini | Internal Medicine | 1505 Eastland Drive, Suite 320, Bloomington, IL 61701-3534 | 2006-09-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
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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.