DAVID T CHANG (NPI# 1336116052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336116052 |
Entity Type | Individual |
Full Name | DAVID T CHANG |
Credential | MD |
Practice Address |
1835 County Road C W Suite 150 Roseville MN 55113-1352 |
Mailing Address |
1950 Northwestern Ave S Ste 102 Stillwater MN 55082-7615 |
Practice Telephone | 6514303800 |
Practice Fax Number | 6514303827 |
Mailing Telephone | 6514303800 |
Mailing Fax Number | 6514303800 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2020-02-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207T00000X | Neurological Surgery | 6663120 | WI | Allopathic & Osteopathic Physicians |
Y | 207T00000X | Neurological Surgery | 48863 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 06382528 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
640 Jackson St, Saint Paul, MN 551012502 | 6512545151 | 6512543123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689001281 | David D Chang | Pharmacist | 9601 S Tacoma Waty, Suite 105-106, Lakewood, WA 98499 | 2013-09-27 |
1962649145 | David Tsan-rue Chang | Acupuncturist | 6733 185th St, Fresh Meadows, NY 11365-3511 | 2009-01-09 |
1629255237 | David C Chang | Orthopaedic Surgery | 307 Placentia Ave., Suite # 111, Newport Beach, CA 92663 | 2008-01-25 |
1093858938 | David Bon-chee Chang | Chiropractor | 23310 Cinema Dr, Suite #104, Valencia, CA 91355-1612 | 2007-02-14 |
1063565497 | David Lee-hun Chang | Optometrist | 1848 Saratoga Avenue, Building 5/ Suite 5a, Saratoga, CA 95070 | 2007-01-19 |
1619981875 | David Keydai Chang | Psychiatry & Neurology | 1616 Westgate Cir, Suite 210, Brentwood, TN 37027-8019 | 2006-07-27 |
1720003114 | David Chang | Family Medicine | 17000 Se 272nd St, Covington, WA 98042 | 2006-07-13 |
1275502866 | David Chang | Anesthesiology | 2231 S Western Ave, Los Angeles, CA 90018-1302 | 2006-03-16 |
1487622718 | David Chang | Urology | 7650 River Rd Ste 300, North Bergen, NJ 07047-6527 | 2006-03-11 |
1316918881 | David S Chang | Orthopaedic Surgery | 1569 Solano Ave Ste 336, Berkeley, CA 94707-2116 | 2006-01-31 |
Street Address |
1835 COUNTY ROAD C W SUITE 150 |
City | ROSEVILLE |
State | MN |
Zip Code | 55113-1352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588630925 | Derek Allen Moline | Optometrist | 1835 County Road C W, Suite 140, Roseville, MN 55113-1352 | 2006-02-26 |
1518493170 | North Memorial Health Care | Clinic/Center | 1835 County Road C W, #150, Roseville, MN 55113-1352 | 2017-05-02 |
1366899437 | Chloe Ferrar | Physician Assistant | 1835 County Road C W, Roseville, MN 55113-1352 | 2016-05-18 |
1598125064 | Lauren H Massopust | Physician Assistant | 1835 County Road C W, 150, Roseville, MN 55113-1352 | 2016-02-26 |
1811356397 | Jeremiah Lynch | Physician Assistant | 1835 County Road C W, Roseville, MN 55113-1352 | 2016-02-12 |
1104201284 | Pdg, Pa | Clinic/Center | 1835 County Road C W, Suite 200, Roseville, MN 55113 | 2015-07-30 |
1477950475 | Kelsey L Holmes | Physician Assistant | 1835 County Road C W, 250, Roseville, MN 55113-1352 | 2014-11-20 |
1578822599 | Hunter Hendry Piermont | Student in an Organized Health Care Education/Training Program | 1835 County Road C W, Suite 220, Roseville, MN 55113-1352 | 2012-05-11 |
1801152814 | Amdahl Hearing, Inc. | Clinic/Center | 1835 County Road C W, Ste. 80, Roseville, MN 55113-1352 | 2012-04-03 |
1063782621 | Tareen Dermatology, P.a. | Non-Pharmacy Dispensing Site | 1835 County Road C W, 250, Roseville, MN 55113-1352 | 2012-01-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
Find all providers in zip 55113 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174509418 | Kavian Shahi | Neurological Surgery | 1301 Secret Ravine Pkwy, Suite 200, Roseville, CA 95661-3043 | 2005-12-19 |
1346226685 | Bahram Chehrazi | Neurological Surgery | 1301 Secret Ravine Parkway, Suite 200, Roseville, CA 95661 | 2005-12-19 |
1841628799 | University Neurosurgical Associates, PC | Neurological Surgery | 25100 Kelly Rd, Roseville, MI 48066-4910 | 2013-10-30 |
1154632057 | Ted I Brindle | Neurological Surgery | 2 Medical Plaza Dr, Suite 205, Roseville, CA 95661-3043 | 2010-06-24 |
1942474713 | Hamidreza Aliabadi | Neurological Surgery | 1301 Secret Ravine Pkwy, Ste 200, Roseville, CA 95661-3102 | 2008-04-14 |
1366595464 | B Barry Chehrazi Md Inc | Neurological Surgery | 1301 Secret Ravine Pkwy, Suite 200, Roseville, CA 95661-3043 | 2007-01-19 |
1538232046 | Franklin C. Wagner Jr. | Neurological Surgery | 2 Medical Plaza Dr, Suite 255, Roseville, CA 95661-3043 | 2006-11-15 |
1174609556 | Matthew Michael Kimball | Neurological Surgery | 2 Medical Plaza Dr, #205, Roseville, CA 95661-3043 | 2006-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770999716 | Gigante Acquisitions LLC | Neurological Surgery | 2215 Pillsbury Ave S, Minneapolis, MN 55404-3213 | 2014-07-10 |
1962723403 | Richard C. Siebert | Neurological Surgery | 1901 Red Oak Dr Sw, Brainerd, MN 56401-2050 | 2010-06-18 |
1912136284 | Ann M Parr | Neurological Surgery | 516 Delaware St Se, Clinic 1a, Umphysicians Neurosurgery Clinic, Minneapolis, MN 55455 | 2009-07-08 |
1932303526 | Hamid Reza Abbasi | Neurological Surgery | 6600 State Highway 29 S, Alexandria, MN 56308-6196 | 2007-06-14 |
1629289939 | Andrew Grande | Neurological Surgery | 420 Delaware St. Se, Mmc 96, D429 Mayo Memorial Building, Minneapolis, MN 55455 | 2007-05-25 |
1255452926 | Meysam A Kebriaei | Neurological Surgery | 347 Smith Ave N Ste 301, Saint Paul, MN 55102-3355 | 2007-04-02 |
1013084615 | Lynn M Miller | Neurological Surgery | 6 Red Forest Ln, North Oaks, MN 55127-6352 | 2006-11-29 |
1871695098 | Cornelius Hoktsim Lam | Neurological Surgery | 420 Delaware St Se # Mmc96, Minneapolis, MN 55455-0341 | 2006-09-01 |
1124044334 | Zhiyi Sha | Neurological Surgery | 420 Delaware Street S.e., Mmc 295, Minneapolis, MN 55455 | 2006-07-14 |
1619914207 | Allina Health System | Neurological Surgery | 310 Smith Ave N Ste 400, St Paul, MN 55102-2378 | 2006-06-01 |
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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.