ALBERT S. CHANG (NPI# 1619991353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619991353 |
| Entity Type | Individual |
| Full Name | ALBERT S. CHANG |
| Credential | MD |
| Practice Address |
4420 Lake Boone Trl Ste 100 Raleigh NC 27607-7505 |
| Mailing Address |
1499 Walton Way Ste 1400 Augusta GA 30901-2602 |
| Practice Telephone | 9197845650 |
| Mailing Telephone | 7067246100 |
| Mailing Fax Number | 7067225187 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2009-01835 | NC | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 057786 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 520356376A | 05 | |
| SC | G57786 | 05 | |
| GA | RAILROAD MEDICARE | P00423702 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Augusta, GA 309120004 | 7067213226 | 7067217508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063697571 | Albert Chang | Pediatrics | 3625 Shoreheights Dr, Malibu, CA 90265-5648 | 2008-01-03 |
| 1902011075 | Albert R Chang | Chiropractor | 3923 Diamondale Ct, Katy, TX 77450-8006 | 2007-05-11 |
| 1801424569 | Albert Chang | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2020-03-30 |
| 1932736808 | Albert H Chang | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-03-23 |
| 1679134514 | Albert Chang | Internal Medicine | 101 Nicolls Road, Hsc, Level 16, Rm 060, Stony Brook, NY 11794-8160 | 2019-06-21 |
| 1972060572 | Albert Chang | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-03-01 |
| 1215223466 | Albert Tailon Chang | Optometrist | 338 E Hamilton Ave, Campbell, CA 95008-0207 | 2011-06-27 |
| 1619299773 | Albert Vincent Chang | Pharmacist | 1396 2nd Ave, New York, NY 10021-4406 | 2010-02-17 |
| 1083869226 | Albert Heng-yao Chang | Radiology | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2008-12-01 |
| 1104089267 | Albert James Chang | Radiology | 200 Medical Plaza, Suite B265, Los Angeles, CA 90024-0000 | 2008-07-08 |
| Street Address |
4420 LAKE BOONE TRL STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154542850 | James Albert Barker | Physician Assistant | 4420 Lake Boone Trl Ste 100, Raleigh, NC 27607-7505 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356601066 | Stephanie Leigh Riggins | Surgery | 3024 New Bern Ave Fl 3, Raleigh, NC 27610 | 2012-05-29 |
| 1245515162 | New Hope Wellness and Total Bariatric Care | Surgery | 9910 Strickland Rd, Suite 100, Raleigh, NC 27615-2083 | 2011-10-12 |
| 1356524086 | Byron Keith Forgy | Surgery | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 | 2007-12-17 |
| 1295936714 | Matthew Alleman | Surgery | 3024 New Bern Ave Ste 304, Raleigh, NC 27610-1247 | 2007-05-31 |
| 1447340906 | Amber L Allen | Surgery | 6733 Falls of Neuse Rd, Raleigh, NC 27615-5305 | 2006-10-13 |
| 1376636548 | J Duncan Phillips | Surgery | 3024 New Bern Ave Suite 302, Raleigh, NC 27610 | 2006-10-02 |
| 1801866108 | Uday S Kavde | Surgery | 3410 Six Forks Rd, Raleigh, NC 27609-7234 | 2006-01-26 |
| 1518945583 | Christopher Roy Watters | Surgery | 1212 Cedarhurst Drive, Suite 102, Raleigh, NC 27609 | 2006-01-09 |
| 1265419931 | William Tucker Cline | Surgery | 2800 Blue Ridge Blvd, Suite 201, Raleigh, NC 27607-6477 | 2005-12-23 |
| 1841277654 | Mark Cooper Sturdivant | Surgery | 2800 Blue Ridge Road Suite 300, Raleigh, NC 27607-6476 | 2005-12-22 |
| Find all providers in RALEIGH | ||||
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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.