WELLINGTON H. CHANG (NPI# 1174780431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174780431 |
| Entity Type | Individual |
| Full Name | WELLINGTON H. CHANG |
| Credential | M.D. |
| Practice Address |
10721 Main St Ste 3200 Fairfax VA 22030-6906 |
| Practice Telephone | 7039513930 |
| Mailing Telephone | 7039513930 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | D0071577 | MD | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD037620 | DC | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 0101248654 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
10721 MAIN ST STE 3200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641959 | Raymond James Olkin | Podiatrist | 10721 Main St, Ste 103, Fairfax Medical Center, Fairfax, VA 22030-6914 | 2005-06-28 |
| 1003363003 | Jsa Homecare | Home Health | 10721 Main St, Suite 304, Fairfax, VA 22030-6914 | 2016-09-07 |
| 1609321611 | Complete Dermatology of Virginia, Inc. | Specialist | 10721 Main St, Suite 3100, Fairfax, VA 22030-6914 | 2016-08-19 |
| 1841686953 | Better Life Inc. | Chiropractor | 10721 Main St, 307, Fairfax, VA 22030-6914 | 2015-04-15 |
| 1053718924 | Family Pharmacy, Inc | Pharmacy | 10721 Main St, 107, Fairfax, VA 22030-6914 | 2014-11-20 |
| 1033511324 | Mind Matters Psychiatry, LLC | Clinic/Center | 10721 Main St, Suite 2450, Fairfax, VA 22030-6914 | 2014-09-18 |
| 1093159717 | Maple Chiropractic & Acupuncture Clinic, LLC | Chiropractor | 10721 Main St, Suite # 2500, Fairfax, VA 22030-6914 | 2013-04-24 |
| 1730465212 | William Linwood Outten IIi | Dentist | 10721 Main St, Suite 203, Fairfax, VA 22030-6902 | 2011-10-27 |
| 1679855183 | Julie Elwell | Social Worker | 10721 Main St, Ste. 2350, Fairfax, VA 22030-6914 | 2011-09-12 |
| 1063792448 | Hyun Kyn Choi | Acupuncturist | 10721 Main St, G7, Fairfax, VA 22030-6914 | 2011-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649619305 | Northern Virginia Eye Physicians, PC | Ophthalmology | 10721 Main St Ste 3200, Fairfax, VA 22030-6906 | 2013-06-17 |
| 1205024692 | Fairfax Eye Center, PC | Ophthalmology | 3650 Joseph Siewick Dr Ste 303, Fairfax, VA 22033-1714 | 2007-10-10 |
| 1689894578 | Prema Modak | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2007-04-26 |
| 1376766816 | John Phillip Essepian IIi | Ophthalmology | 3031 Javier Rd Ste 300, Fairfax, VA 22031-4638 | 2007-04-11 |
| 1750427555 | John Robert Minarcik Jr. | Ophthalmology | 8505 Arlington Blvd Ste 300, Fairfax, VA 22031-4630 | 2007-01-29 |
| 1881663102 | Fairfax Eye Associates Inc | Ophthalmology | 9936 Main St, Fairfax, VA 22031 | 2006-03-17 |
| 1407824394 | Jacqueline Jiang Fredrick | Ophthalmology | 12011 Lee Jackson Mem Hwy #305, Fairfax, VA 22033 | 2006-03-08 |
| 1003814534 | David Benjamin Summer | Ophthalmology | 3031 Javier Rd, Suite 300, Fairfax, VA 22031-4637 | 2005-07-08 |
| 1982067112 | Meghan Giurintano Moroux | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2016-04-04 |
| 1275904674 | Eye Specialists and Surgeons of Northern Virginia, LLC | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2015-10-12 |
| Find all providers in FAIRFAX | ||||
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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.