DR. LISA CHANG (NPI# 1164743308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164743308 |
| Entity Type | Individual |
| Full Name | DR. LISA CHANG |
| Credential | D.O. |
| Practice Address |
4101 30th Ave Astoria NY 11103-2908 |
| Practice Telephone | 7182049886 |
| Mailing Telephone | 7182049886 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2014-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 251882 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811379019 | Lisa Chang | Dentist | 3557 Union Rd, Buffalo, NY 14225-5123 | 2015-06-24 |
| 1760744254 | Lisa S Chang | Physician Assistant | 10307 Hinderhill Dr, Bakersfield, CA 93312-7035 | 2012-06-12 |
| 1437314218 | Lisa Chang | Obstetrics & Gynecology | 401 N Garfield Ave Ste 203, Monterey Park, CA 91754-1201 | 2008-07-22 |
| 1407457518 | Lisa Chang | Pharmacist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-11-04 |
| 1043580541 | Lisa I Chang | Pharmacist | 3220 Spring Forest Rd, Raleigh, NC 27616-2822 | 2011-12-31 |
| 1023334489 | Lisa Ku Chang | Dentist | 4409 Ming Ave, Bakersfield, CA 93309-4817 | 2010-04-10 |
| 1962605907 | Lisa F Chang | Ophthalmology | 2338 Almond Ave, Concord, CA 94520-2026 | 2007-06-07 |
| 1801898333 | Lisa Chang | Pediatrics | 1919 S Braeswood Blvd, 5th Floor, Houston, TX 77030-4412 | 2005-08-15 |
| Street Address |
4101 30TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659515302 | Melvina Patel | Internal Medicine | 4101 30th Ave, Astoria, NY 11103-2908 | 2009-04-25 |
| 1013296854 | Sudha Dubey | Internal Medicine | 4101 30th Ave, Astoria, NY 11103-2908 | 2011-08-10 |
| 1912210568 | Mehreen Haqqie | Family Medicine | 4101 30th Ave, Astoria, NY 11103-2908 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902169832 | Lynn S Chung | Family Medicine | 2248 31st St, Astoria, NY 11105-2714 | 2012-06-15 |
| 1710137344 | Sanjiv Chopra | Family Medicine | 3231 Steinway St, Astoria, NY 11103-4005 | 2008-09-18 |
| 1992962112 | John Fkiaras | Family Medicine | 2070 42nd St, Astoria, NY 11105-1224 | 2008-05-16 |
| 1619152188 | Rebecca Rueppel | Family Medicine | 2158 Exchange St Ste 304, Astoria, OR 97103-3316 | 2008-01-03 |
| 1508047226 | Kevin Baxter Do PC | Family Medicine | 553 18th St, Astoria, OR 97103-3505 | 2007-11-21 |
| 1902000995 | Richard Di Fiore | Family Medicine | 3033 Steinway St, Astoria, NY 11103 | 2007-06-13 |
| 1780707125 | George Costa Fisher | Family Medicine | 2233 33rd St, Astoria, NY 11105-2402 | 2007-04-09 |
| 1366563207 | Anastassios Kassapidis | Family Medicine | 2318 28th St, Astoria, NY 11105-2802 | 2007-04-02 |
| 1851442560 | Sabine M Fednard | Family Medicine | 3080 21st St, 2nd Fl., Astoria, NY 11102-3671 | 2007-01-16 |
| 1528121753 | Matthew Alan Theophilus Clarke | Family Medicine | 3051 36th St, Astoria, NY 11103-4704 | 2006-12-19 |
| Find all providers in ASTORIA | ||||
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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.