DAVID T CHANG


Address: 1835 County Road C W, Suite 150, Roseville, MN 55113-1352
Phone: 6514303800

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MS 06382528 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
640 Jackson St, Saint Paul, MN 551012502 6512545151 6512543123

Other Providers DAVID CHANG

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

Office Location

Street Address 1835 COUNTY ROAD C W
SUITE 150
City ROSEVILLE
State MN
Zip Code 55113-1352

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City ROSEVILLE
Zip Code 55113

Improve Information

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Dataset Information

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.

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