Phyllis Chang, M.D., PLC

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

26997 Issued in IA

Legal business name

PHYLLIS CHANG, M.D., PLC

Practice address

604 5TH St
Coralville, IA 52241-2304

Phone

(319) 358-8788

Fax

(319) 351-9278

NPI assigned

Nov 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phyllis Chang, M.D.NPI 1407922768

Title

Member

Phone

(319) 358-8788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phyllis Chang, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Coralville, IA
  • NPI 1407922768
  Authorized official Same address or phone
• Albert Cram, MD

  • Plastic and Reconstructive Surgery Physician
  • Coralville, IA
  • NPI 1841345279
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083780266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 5TH ST",
            "address_2": "PO BOX 5036",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412304",
            "telephone_number": "319-358-8788",
            "fax_number": "319-351-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 5TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412304",
            "telephone_number": "319-358-8788",
            "fax_number": "319-351-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS CHANG, M.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "319-358-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "IA",
            "license": "26997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450049",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Pfister
• Kathie Pham
• Pharmerica Midwest LLC (PharMerica)
• Phleb-Express Inc
• Nadia Phouphommakhith
• Physiotherapy Associates Inc
• Julie Ann Piegors
• Amanda Jean Pitts, DNP, ARNP
• Justin Plum, PT
• Donna Kay Pohl

• Surgery of the Hand (Plastic Surgery) Physician in Coralville, IA
• Providers in Coralville, IA by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.