DR. DONGWOO JOHN CHANG (NPI# 1962485037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962485037 |
| Entity Type | Individual |
| Full Name | DR. DONGWOO JOHN CHANG |
| Other Name | DR. DONGWOO JOHN CHANG |
| Credential | M.D. |
| Practice Address |
6633 N 3rd St Philadelphia PA 19126-3121 |
| Practice Telephone | 8153949788 |
| Mailing Telephone | 8153949788 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 036120333 | IL | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 296766 | NY | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 57785 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1182 Troy Schenectady Rd, Latham, NY 121101001 | 5187135400 | |
| 305 W Jackson St Ste 103, Carbondale, IL 629011474 | 6183514972 | 6183516522 |
| Street Address |
6633 N 3RD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19126-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917975 | Mildred Kenney | Social Worker | 1333 68th St, Philadelphia, PA 19126 | 2020-06-24 |
| 1639706823 | Southern Comfort Living | In Home Supportive Care | 6641 North Broad Street, Philadelphia, PA 19126 | 2020-03-26 |
| 1043759905 | Dawneisha Spratley | Community/Behavioral Health | 6726 N 18th St, Philadelphia, PA 19126 | 2017-02-13 |
| 1942751417 | Oaklane Pharmacy 1 LLC | Pharmacy | 6724 Old York Rd., Philadelphia, PA 19126 | 2016-10-20 |
| 1649728262 | Donna Chan | Pharmacist | 6744 N. 5th Street, Philadelphia, PA 19126 | 2016-09-12 |
| 1871976381 | Dena S Harris | Counselor | 7305 N 18th St, Phila, PA 19126 | 2015-07-01 |
| 1104128677 | Mental Health Partnerships | Community Based Residential Treatment Facility, Mental Illness | 1305 Oak Lane Avenue, Philadelphia, PA 19126 | 2010-12-03 |
| 1972665826 | Alfonso Clark | Dentist | 1344 66th Ave, Phila, PA 19126 | 2006-12-15 |
| 1013441906 | Chrisline Nicolas | Nurse Practitioner | 7101 Old York Rd, Philadelphia, PA 19126 | 2017-04-18 |
| 1215326541 | Erika Childs | Counselor | 6931 N 19th St, Philadelphia, PA 19126-1506 | 2015-01-09 |
| Find all providers in zip 19126 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1225370869 | Endrit Ziu | Neurological Surgery | 929 N 29th St, Apt 103, Philadelphia, PA 19130-1110 | 2013-03-21 |
| 1760617054 | Gentian Toshkezi | Neurological Surgery | 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114 | 2009-05-15 |
| 1295900942 | Zarina S Ali | Neurological Surgery | 3400 Spruce Street Hup - Dept of Neurosurgery, 3 Silverstein, Philadelphia, PA 19104 | 2008-04-24 |
| 1629286018 | Stavropoula Ioannis Tjoumakaris | Neurological Surgery | 909 Walnut Street, 2rd Floor, Jefferson Neurosurgical Associates, Philadelphia, PA 19107-5211 | 2007-05-18 |
| 1639299837 | Neurosurgical Associates | Neurological Surgery | 5049 Oxford Ave, Philadelphia, PA 19124-2652 | 2007-03-30 |
| 1801910310 | Merylee Elizabeth Werthan | Neurological Surgery | 5049 Oxford Avenue, Philadelphia, PA 19124-2652 | 2007-03-19 |
| 1629132006 | Srinivas Kasinadhuni Prasad | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2006-12-20 |
| 1255403747 | Silva Markovic-plese | Neurological Surgery | 900 Walnut St Fl 2, Philadelphia, PA 19107-5509 | 2006-11-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19126 |
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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.