EUGENE M CHANG (NPI# 1225066095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225066095 |
Entity Type | Individual |
Full Name | EUGENE M CHANG |
Credential | M.D. |
Practice Address |
3801 Lake Otis Pkwy, Suite 300 Anchorage AK 99508-5230 |
Practice Telephone | 9075622277 |
Practice Fax Number | 9075633460 |
Mailing Telephone | 9075622277 |
Mailing Fax Number | 9075633460 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2016-02-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 5173 | AK | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
5173 | AK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | 1015495 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265432991 | Eugene Y Chang | Ophthalmology | 1518 E Barnett Rd, Medford, OR 97504-8281 | 2005-07-22 |
1992199459 | Eugene Chang | Internal Medicine | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106-1716 | 2015-03-23 |
1760727515 | Eugene Kichung Chang | Physical Medicine & Rehabilitation | 1515 Holcombe Blvd, Unit Number 1414/ Fct5.6057, Houston, TX 77030-4000 | 2012-12-05 |
1073714887 | Eugene Hanyoung Chang | Otolaryngology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-30 |
1568670792 | Eugene Chang | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Mail Code L223, Portland, OR 97239-3011 | 2007-05-20 |
1346302890 | Eugene B Chang | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-14 |
1336255777 | Eugene Y Chang | Obstetrics & Gynecology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-21 |
1225012909 | Eugene Y Chang | Surgery | 5838 Harbour View Blvd, Suite 240, Suffolk, VA 23435-2663 | 2005-12-06 |
Street Address |
3801 LAKE OTIS PKWY, SUITE 300 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-5230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144250416 | Robert J Hall | Orthopaedic Surgery | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5230 | 2006-07-03 |
1053341321 | James M Bliven | Physician Assistant | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5230 | 2006-07-03 |
1497783260 | Marc J Kornmesser | Orthopaedic Surgery | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5230 | 2006-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
Find all providers in zip 99508 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891999322 | Namory Bagayoko | Orthopaedic Surgery | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-06-11 |
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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.