Colin E. Chang, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01045412A Issued in IN

Practice address

2605 E. Creek'S Edge Dr.
Bloomington, IN 47401

Phone

(812) 355-2300

Fax

(812) 355-2316

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colinchang@cfhcc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ima, Inc.

  • Internal Medicine Physician
  • Bloomington, IN
  • NPI 1710974266
  NPD
• Ima Inc Laboratory

  • Clinical Medical Laboratory
  • Bloomington, IN
  • NPI 1588669667
  NPD (past)
• Ima, Inc. Physical Therapy

  • Physical Therapy Clinic/Center
  • Bloomington, IN
  • NPI 1750564274
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1114922986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033239",
            "telephone_number": "812-355-2300",
            "fax_number": "812-355-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 E. CREEK'S EDGE DR.",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47401",
            "telephone_number": "812-355-2300",
            "fax_number": "812-355-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "COLIN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01045412A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200188940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virshawn M Champion, MSW, LCSW
• Kirsten Renee Chandler
• Corie R Chaney, NP
• Samantha Chaney
• Zachary B Chaney
• Warren Jeffrey Chang, M.D.
• Nicole Tien Chao, MD
• Morgan Leigh Chapa, RN
• Julie Chapin, PH.D, HSPP
• David Khalil Chapman, RBT

• Internal Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.