STEWART MICHAEL CHANG (NPI# 1780768705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780768705 |
| Entity Type | Individual |
| Full Name | STEWART MICHAEL CHANG |
| Credential | D.P.M. |
| Practice Address |
887 Rio East Ct # A Charlottesville VA 22901-8004 |
| Mailing Address |
3075 Clear Springs Ct Charlottesville VA 22911-7219 |
| Practice Telephone | 4349798116 |
| Practice Fax Number | 4349798880 |
| Mailing Telephone | 4349747077 |
| Mailing Fax Number | 4349798880 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2017-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 0103300932 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
0103300932 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
0103300932 | VA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
0103300932 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103300932 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0103300932 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010151503 | 05 | |
| VA | ANTHEM - C'VILLE OFFICE | 179769 | 01 |
| VA | MAMSI | 2132454 | 01 |
| VA | AETNA | 7412732 | 01 |
| VA | 010193133 | 05 | |
| VA | ALLIANCE | 2132454 | 01 |
| VA | SOUTHERN HEALTH | 306352 | 01 |
| VA | CIGNA | 6661192 | 01 |
| VA | ANTHEM - W'BORO OFFICE | 179774 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790907442 | Stewart S Chang | Acupuncturist | 150 Alicante Aisle, Irvine, CA 92614-5978 | 2007-05-03 |
| Street Address |
887 RIO EAST CT # A |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336131473 | Mark A Gardner | Podiatrist | 453 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5645 | 2005-08-16 |
| 1215282652 | Alexander C Mount | Podiatrist | 1465 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2012-07-23 |
| 1780978296 | Mahmoud Awni Salem | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2011-06-01 |
| 1194935163 | Hsin-yi Steve Hsu | Podiatrist | 8301 Arlington Blvd, Suite 508, Fairfax, VA 22031-2902 | 2007-05-22 |
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
Please comment or provide details below to improve the information on STEWART MICHAEL CHANG.
| 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.