DR. TED THOMAS CHANG (NPI# 1871740332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871740332 |
| Entity Type | Individual |
| Full Name | DR. TED THOMAS CHANG |
| Credential | M.D. |
| Practice Address |
960 Joe Frank Harris Pkwy Se Radiology Dept Cartersville GA 30120-2129 |
| Mailing Address |
Po Box 200096 Cartersville GA 30120-9002 |
| Practice Telephone | 8652361311 |
| Practice Fax Number | 6789289759 |
| Mailing Telephone | 6789057053 |
| Mailing Fax Number | 6789289759 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
48791 | TN | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
071219 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
071219 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
960 JOE FRANK HARRIS PKWY SE RADIOLOGY DEPT |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760472104 | Cartersville Physician Practice Network, Inc | Internal Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2005-10-26 |
| 1891319901 | Chappell Rebecca Madhani | Dietitian, Registered | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2020-06-04 |
| 1083271472 | Jennifer Gazaway | Specialist/Technologist, Other | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2019-05-21 |
| 1922570282 | Tara Williams | Nurse Anesthetist, Certified Registered | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2018-12-27 |
| 1790250728 | Laura Poulsen | Student in an Organized Health Care Education/Training Program | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2018-10-05 |
| 1760981484 | Jordan F Vaughn | Nurse Practitioner | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2018-02-08 |
| 1265944094 | Charissa Faith Baker | Nurse Practitioner | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2017-11-02 |
| 1487198768 | Sheridan Anesthesia Services of North Georgia, P.c | Anesthesiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2016-12-06 |
| 1376904292 | Faizan Shaikh | Internal Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2016-03-19 |
| 1497112783 | Apollo Emergency Physicians, LLC | Physician Assistant | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2016-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 |
|---|---|---|---|---|
| 1902990427 | Michael D. Reed | Radiology | 98 Dean Road, S.e., Cartersville, GA 30120 | 2006-10-02 |
| 1427462811 | Sean Zigmas Goodin | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2014-06-13 |
| 1265795223 | Qiao Zhou | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2012-06-24 |
| 1194091132 | Daniel Andrew Ortiz | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2012-03-23 |
| 1184951170 | Adam Kyle Deal | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2009-11-11 |
| 1902088941 | Samir Chande | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2007-12-01 |
| 1811177884 | Mark Paul Rheaume | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2007-11-07 |
| 1548396906 | Christopher Cornille | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2007-02-27 |
| 1336238526 | Alvin Graham | Radiology | 10 Bowen Ct, Cartersville, GA 30120-2494 | 2006-10-12 |
| 1942238084 | Fayyaz Barodawala | Radiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2006-06-29 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on DR. TED THOMAS 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.