PHYLLIS CLARA CHANG (NPI# 1316058266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316058266 |
| Entity Type | Individual |
| Full Name | PHYLLIS CLARA CHANG |
| Credential | M.D. |
| Practice Address |
2206 E Villa Maria Rd Bryan TX 77802-2547 |
| Practice Telephone | 9797764600 |
| Practice Fax Number | 9797740877 |
| Mailing Telephone | 9797764600 |
| Mailing Fax Number | 9797740877 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
H9845 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 132744701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104007962 | Phyllis Chang | Registered Nurse | 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 | 2007-11-21 |
| 1265654735 | Phyllis C Chang | Obstetrics & Gynecology | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2007-05-03 |
| 1407922768 | Phyllis Chang | Plastic Surgery | 604 5th St, Coralville, IA 52241-2304 | 2006-11-28 |
| Street Address |
2206 E VILLA MARIA RD |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629020011 | Charles Henry Moore | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-05-16 |
| 1073056248 | Hannah Helm | Physician Assistant | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2016-11-21 |
| 1558751834 | Anesthesia Associates of Bryan LLC | Nurse Anesthetist, Certified Registered | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2015-01-26 |
| 1225360605 | Bryan Gastropath, LLC | Clinical Medical Laboratory | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2010-02-09 |
| 1588820054 | Joshua David Sultz | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2008-08-04 |
| 1922263722 | David J Case | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2008-07-22 |
| 1811061930 | William H Lovett IIi | Physician Assistant | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-11-20 |
| 1639260763 | Central Texas Digestive Disease Association, Pa | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-09-27 |
| 1043321987 | Brent Morgan Gray | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-08-31 |
| 1366553380 | L. Henry Pham | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1629020011 | Charles Henry Moore | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-05-16 |
| 1083972814 | David M Cooley | Internal Medicine | 433 W High St, Bryan, OH 43506 | 2012-04-30 |
| 1639260763 | Central Texas Digestive Disease Association, Pa | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-09-27 |
| 1043321987 | Brent Morgan Gray | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-08-31 |
| 1366553380 | L. Henry Pham | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-08-31 |
| 1003927930 | Christopher Joseph Derbes | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716014 | Kingwood Gastroenterology Pllc | Internal Medicine | 210 W Park Ste 100, Livingston, TX 77351-8337 | 2020-10-03 |
| 1003432543 | Dc Gastro Konsult | Internal Medicine | 11620 Pellicano Dr Ste B, El Paso, TX 79936-6250 | 2020-06-21 |
| 1851946917 | Sunbal Zafar Pllc | Internal Medicine | 3125 Matlock Rd Ste 108, Arlington, TX 76015-2905 | 2019-08-06 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1205393279 | Fatema S Uddin Md, Pllc | Internal Medicine | 601 Omega Dr Ste 201, Arlington, TX 76014-2075 | 2019-02-26 |
| 1952875932 | Aimee Lin Simington | Internal Medicine | 609 Medical Center Dr Ste 2600, Decatur, TX 76234-3846 | 2019-01-14 |
| 1265903652 | Michael S Brown | Internal Medicine | 5323 Harry Hines Blvd Rm L5.238, Dallas, TX 75390-9046 | 2018-12-10 |
| 1174098883 | Texas Digestive Care, Pllc | Internal Medicine | 2900 N I 35 Ste 210, Denton, TX 76201-5145 | 2018-10-09 |
| 1194208892 | El Paso Center for Pediatric Gastroenterology Pa | Internal Medicine | 2311 N Mesa St Ste C, El Paso, TX 79902-3575 | 2018-09-10 |
| 1821594052 | Tanmayi Gaikwad | Internal Medicine | 16651 Southwest Fwy Ste 370, Sugar Land, TX 77479-2348 | 2018-04-05 |
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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.