KEUCK CHANG (NPI# 1669444279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669444279 |
| Entity Type | Individual |
| Full Name | KEUCK CHANG |
| Other Name | KEUCKEE CHANG |
| Credential | MD |
| Practice Address |
6789 Ridge Rd Ste 203 Parma OH 44129 |
| Practice Telephone | 4408884426 |
| Practice Fax Number | 4408885033 |
| Mailing Telephone | 4408884426 |
| Mailing Fax Number | 4408885033 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
C52033 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101238001 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35041642 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0378247 | 05 |
| Street Address |
6789 RIDGE RD STE 203 |
| City | PARMA |
| State | OH |
| Zip Code | 44129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637478 | Robert George Newman | Dentist | 6789 Ridge Rd, Suite 304, Parma, OH 44129-5649 | 2005-08-24 |
| 1992147433 | Elite Women Care | Specialist | 6789 Ridge Rd, Suite 209, Parma, OH 44129-5649 | 2013-07-25 |
| 1821254319 | The Center of Orthopedic Surgery | Orthopaedic Surgery | 6789 Ridge Rd, Suite 100, Parma, OH 44129-5649 | 2008-08-04 |
| 1497958037 | George Harris Newman | Dentist | 6789 Ridge Rd, Suite 304, Parma, OH 44129-5649 | 2007-06-11 |
| 1679609739 | Anthony Carl Iacobucci | Dentist | 6789 Ridge Rd, Suite 306, Parma, OH 44129-5649 | 2007-02-25 |
| 1487793782 | Center of Orthopedic Surgery,inc. | Durable Medical Equipment & Medical Supplies | 6789 Ridge Rd, Suite 100, Parma, OH 44129-5649 | 2007-02-05 |
| 1104970805 | Faith Medical Associates, Inc | Internal Medicine | 6789 Ridge Rd, 202, Parma, OH 44129-5649 | 2007-01-22 |
| 1447304167 | R. Rubin Gutarts, D.d.s., M.s., Inc. | Dentist | 6789 Ridge Rd, Suite 301, Parma, OH 44129-5649 | 2007-01-22 |
| 1356408967 | Michael R Sabat | Dentist | 6789 Ridge Rd, 308, Parma, OH 44129 | 2007-01-02 |
| 1043376445 | Rebecca Mintz-gecovich | Dentist | 6789 Ridge Rd, Suite 306, Parma, OH 44129-5649 | 2006-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819504 | Evolve Behavioral Health LLC. | Counselor | 5788 Ridge Rd Ste 3, Parma, OH 44129 | 2018-07-30 |
| 1952755688 | Lauren Williams | Speech-Language Pathologist | 6907 Brownfield Drive, Parma, OH 44129 | 2016-04-19 |
| 1447611579 | Chidozie Odigwe | Student in an Organized Health Care Education/Training Program | 7007 Powers Boulevard, Parma, OH 44129 | 2016-03-17 |
| 1700296589 | Kellie Richardson | Home Health Aide | 8402 Deerfield Drive, Parma, OH 44129 | 2014-05-02 |
| 1285982843 | John Eugene Huron | Dentist | 5657 Ridge Road, Parma, OH 44129 | 2012-08-29 |
| 1952659682 | Rima Patel | Optometrist | 7101 Lassiter Dr., Parma, OH 44129 | 2012-08-28 |
| 1740570464 | Wig Fashions Inc | Durable Medical Equipment & Medical Supplies | 5466 Pearl Road, Parma, OH 44129 | 2011-04-14 |
| 1447490883 | Adam D. Wysocki | Chiropractor | 5348 Pearl Road, Parma, OH 44129 | 2009-02-25 |
| 1184888547 | Virginia Ruth Ripepi | Registered Nurse | 8003 Dorothy Avenue, Parma, OH 44129 | 2008-07-15 |
| 1871787879 | Roger Goomber | Anesthesiology | 6305 Powers Blvd, Mac 4, Parma, OH 44129 | 2007-09-01 |
| Find all providers in zip 44129 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1003010752 | Fariha Shad | Internal Medicine | 12301 Snow Rd, Parma, OH 44130-1002 | 2007-06-14 |
| 1881796779 | P. Sadasivan | Internal Medicine | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-09-02 |
| 1073626529 | Nuzhat Inayat Ashai | Internal Medicine | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
| 1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
| 1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
| 1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
| Find all providers with the same taxonomy | ||||
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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.