JEFFREY Y CHANG (NPI# 1992738728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992738728 |
| Entity Type | Individual |
| Full Name | JEFFREY Y CHANG |
| Credential | MD |
| Practice Address |
3308 W Chartwell Rd Peoria IL 61614-2322 |
| Practice Telephone | 3096917640 |
| Practice Fax Number | 3096917643 |
| Mailing Telephone | 3096917640 |
| Mailing Fax Number | 3096917643 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036064132 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942658216 | Jeffrey Chang | Social Worker | 27 Barrow St Fl 3, New York, NY 10014-3823 | 2016-05-27 |
| 1003036286 | Jeffrey Chai Chang | Dentist | 38th Street, Bldg 38717, Usa Dentac, Ft Gordon, GA 30905-5660 | 2007-04-27 |
| 1710507033 | Jeffrey Chris Chang | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-04-17 |
| 1235691643 | Jeffrey Chang | Speech-Language Pathologist | 525 Bryant St Nw, Washington, DC 20059-1005 | 2019-04-03 |
| 1134625361 | Jeffrey Ching-ray Chang | Student in an Organized Health Care Education/Training Program | 903 W Martin St, San Antonio, TX 78207-0903 | 2018-04-05 |
| 1427417807 | Jeffrey Chang | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-15 |
| 1215371067 | Jeffrey Andrew Chang | Psychiatry & Neurology | 423 E 23rd St, New York, NY 10010-5011 | 2013-04-23 |
| 1568739233 | Jeffrey C Chang | Internal Medicine | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2011-11-24 |
| 1194959056 | Jeffrey Chang | Radiology | 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 | 2009-05-07 |
| 1881817823 | Jeffrey H T Chang | Occupational Therapy Assistant | 2828 Paa St, Honolulu, HI 96819-4405 | 2007-04-10 |
| Street Address |
3308 W CHARTWELL RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053340620 | Endocrine & Diabetes, Sc | Internal Medicine | 3308 W Chartwell Rd, Peoria, IL 61614-2322 | 2006-07-03 |
| 1073917258 | Marissa Christine Myres | Registered Nurse | 3308 W Chartwell Rd, Peoria, IL 61614-2322 | 2014-10-16 |
| 1639108202 | Thomas R Dorsch | Internal Medicine | 3308 W Chartwell Rd, Peoria, IL 61614-2322 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1053340620 | Endocrine & Diabetes, Sc | Internal Medicine | 3308 W Chartwell Rd, Peoria, IL 61614-2322 | 2006-07-03 |
| 1295090330 | Jose T Kuzhively | Internal Medicine | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2012-07-04 |
| 1487927265 | Terry I Meriden Md Sc | Internal Medicine | 900 Main St, Suite 300, Peoria, IL 61602-1005 | 2012-02-09 |
| 1740483619 | Srividya Ariyan | Internal Medicine | 9171 W Thunderbird Rd, Peoria, AZ 85381-4872 | 2007-06-07 |
| 1467538231 | Terry Meriden | Internal Medicine | 900 Main Street, Suite 300, Peoria, IL 61602 | 2006-10-27 |
| 1265443782 | Rekha Kumari Agarwal | Internal Medicine | 9165 W Thunderbird Rd, Ste 200, Peoria, AZ 85381-4847 | 2006-08-10 |
| 1194735456 | Abdullah Hanna-moussa | Internal Medicine | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2006-08-09 |
| 1639108202 | Thomas R Dorsch | Internal Medicine | 3308 W Chartwell Rd, Peoria, IL 61614-2322 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
| 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.