Jennifer Chang (NPI# 1003058322, PAC ID# 2769538362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1003058322 |
| PAC ID by PECOS | 2769538362 |
| Professional Enrollment ID | I20151130000182 |
| Full Name | Jennifer Chang |
| Organization Legal Name | THE BETHANY CIRCLE OF KINGS DAUGHTERS OF MADISON INDIANA INC |
| Address |
1373 E State Rd 62 Kings Daughters Health Madison IN 47250-7328 |
| Phone Number | 8128010801 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 9739089319 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150069 | KING'S DAUGHTERS' HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 | 8128010801 | THE BETHANY CIRCLE OF KINGS DAUGHTERS OF MADISON INDIANA INC |
| Organization Legal Name | THE BETHANY CIRCLE OF KINGS DAUGHTERS OF MADISON INDIANA INC |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan W Polley | Orthopedic Surgery | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 205 Marwill Dr, Carrollton, KY 41008-1500 |
| Mandy C Wilson | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Robert M Ellis | Family Medicine | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1190 W Main St, Kings Daughters Health, Vevay, IN 47043-3639 |
| Thomas A Barley | Internal Medicine | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 36 Medical Plz, Hanover, IN 47243-9481 |
| Thomas C Eckert | Internal Medicine | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 206 W Tyson St, Versailles, IN 47042-8036 |
| Susan Florene Maderic | Family Medicine | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 10235 Hwy 421 N, Milton, KY 40045-1541 |
| Mary Victoria Conners | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 630 Broadway St, Madison, IN 47250-3310 |
| Cassandra A Meyer | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 445 Clifty Dr, Madison, IN 47250-1607 |
| Paul W Cronen | General Surgery | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 |
| Jennifer D Roney | Obstetrics/gynecology | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 |
| Street Address |
1373 E STATE RD 62 KINGS DAUGHTERS HEALTH |
| City | MADISON |
| State | IN |
| Zip | 47250-7328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul W Cronen | General Surgery | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 |
| Jennifer D Roney | Obstetrics/gynecology | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 |
| Catherine N Dickinson | Family Medicine | Baptist Health Medical Group Inc | 1373 E State Rd, 62 Louisville Cardiology Group, Madison, IN 47250-7328 |
| Erin Denise Jenkins | Physical Therapy | Baptist Health Medical Group Inc | 1373 E State Rd, 62 Louisville Cardiology Group, Madison, IN 47250-7328 |
| Alicia D Mincher | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 |
| Reggie Lyell | Family Medicine | Baptist Health Medical Group Inc | 1373 E State Rd, 62 Louisville Cardiology Group, Madison, IN 47250-7328 |
| Saima Khan | General Surgery | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 |
| Andrea G Casey | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 |
| Maria Lee Glass | Family Medicine | Baptist Health Medical Group Inc | 1373 E State Rd, 62 Louisville Cardiology Group, Madison, IN 47250-7328 |
| Victoria A Shirley | Obstetrics/gynecology | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E State Rd, 62 Kings Daughters Health, Madison, IN 47250-7328 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Marie Overpeck | Physical Therapy | 219 Clifty Dr, Madison, IN 47250-1603 | |
| Cassandra A Meyer | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 445 Clifty Dr, Madison, IN 47250-1607 |
| Kimberly E Hall | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 445 Clifty Dr, Madison, IN 47250-1607 |
| Kevin P Downes | Family Medicine | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 445 Clifty Dr, Madison, IN 47250-1607 |
| Joshua Scott | Nurse Practitioner | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Tina Goodin | Nurse Practitioner | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Walter K Britt | Family Medicine | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Brandy J Smith | Nurse Practitioner | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Mallory Wilson | Physician Assistant | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Eric J Berseth | Chiropractic | 2432 Clifty Dr, Madison, IN 47250-1636 | |
| Find all physicians in zip 47250 | |||
| City | MADISON |
| Zip Code | 47250 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MADISON + ANESTHESIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.