DR. DAVID JIN-WOO CHANG (NPI# 1861601791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861601791 |
| Entity Type | Individual |
| Full Name | DR. DAVID JIN-WOO CHANG |
| Credential | MD |
| Practice Address |
700 Ne 87th Ave Vancouver WA 98664 |
| Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041771 |
| Mailing Telephone | 3608822778 |
| Mailing Fax Number | 3606041771 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD00048065 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00048065 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
80245 | OR | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2002014051 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1056120 | 05 | |
| OR | 270199 | 05 | |
| WA | 1022554 | 05 | |
| WA | LNI-RADIA | 0391698 | 01 |
| OR | RAILROAD MEDICARE | P00447671 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Ne Mother Joseph Pl, Vancouver, WA 986643200 | 3605142000 | 3605146219 |
| 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 |
700 NE 87TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255112 | Lewis Mark Steinberg | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2005-06-17 |
| 1598398141 | Blakely Garrity | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2020-02-21 |
| 1851958797 | Rosa Pham | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2019-05-28 |
| 1902368319 | Alexandria Eunsong Yeo | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2019-04-03 |
| 1568961100 | Jill Renee Bradley | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2018-02-09 |
| 1245757939 | Matthew Elamparo | Pharmacist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-08-24 |
| 1174051023 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 | 2017-05-23 |
| 1952833741 | Jeanne Lothrop Gurney | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-03-30 |
| 1730639626 | Cameron M Schmidt | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2016-10-04 |
| 1164971610 | David C Turro Jr. | Physician Assistant | 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003853755 | Aaron M Kaplan | Radiology | 700 Ne 87th Ave # 140, Vancouver, WA 98664-4896 | 2006-06-01 |
| 1063427565 | Amar Yeshwant Purandare | Radiology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-07-31 |
| 1760446306 | Keith Aaron Bernstein | Radiology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-04-12 |
| 1700849395 | Lawrence Hayes Rose | Radiology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760586 | Whidbey Island Public Hospital District | Radiology | 7167 Ne 126th St, Kirkland, WA 98034-5717 | 2020-04-29 |
| 1609497858 | Whidbey Island Public Hospital District | Radiology | 318 W Lake Samish Dr, Bellingham, WA 98229-9313 | 2020-04-29 |
| 1295155901 | Robert Paul Deconde | Radiology | 1959 Ne Pacific St # Ss -202, Seattle, WA 98195-7117 | 2014-04-21 |
| 1932342300 | Amit Chakraborty | Radiology | 335 S. 336th St., C, Federal Way, WA 98003 | 2009-04-14 |
| 1861655284 | Richard Nguyen | Radiology | 969 Stevens Dr Ste 1c, Richland, WA 99352-3557 | 2008-07-07 |
| 1407024888 | Andrew Laurence Thompson | Radiology | 2440 Western Ave, Apt# 402, Seattle, WA 98121-1325 | 2008-02-19 |
| 1942348883 | Gary K. Stimac | Radiology | 12600 Se 38th St Ste 200, Bellevue, WA 98006-6109 | 2007-02-02 |
| 1306932165 | Roberta W. Dalley | Radiology | 1959 Ne Pacific St, U of Washington Medical Ctr, Radiology, Room Rr-215, Box 357115, Seattle, WA 98195-0001 | 2006-10-05 |
| 1578658134 | Dean Shibata | Radiology | Univ Washington Med Center, Box 357115, 1959 Ne Pacific St, Seattle, WA 98195 | 2006-10-03 |
| 1770519753 | Alan Loudon Williams | Radiology | 8463 Pointe Rd N, Blaine, WA 98230-4305 | 2006-06-23 |
| 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.