Active NPI
Edward T Chang, MD, MS, MBA
- Otolaryngology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 60296
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4371
- Fax
- (859) 258-4326
- NPI assigned
- Jun 6, 2012
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD17315 | HI | |
| Otolaryngology Physician | 207Y00000X | 79106 | GA | |
| Otolaryngology Physician | 207Y00000X | 60296 | KY | Primary |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other practice location 1
1720 Nicholasville Rd Ste 500
Lexington, KY 40503-1487
Phone (859) 278-1114
Other practice location 2
1012 Ival James Blvd Ste B
Richmond, KY 40475-8278
Phone (859) 624-3615
Other practice location 3
150 Mount Vernon Dr Ste 202
Georgetown, KY 40324-1526
Phone (859) 278-1114
Other practice location 4
230 Fountain Ct Ste 230
Lexington, KY 40509-1897
Phone (859) 977-5335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101025060 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79106 | GA | MD | Otolaryngology Physician |
| MD17315 | HI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Otolaryngology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
2411 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 706-5265
1000 Breckenridge St
Ste 303
Owensboro, KY 42303
Phone (270) 685-2392
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
Otolaryngology
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba One Health Greenville
- Physician Assistant
- Greenville, KY
- NPI 1639411606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1144581059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4371",
"fax_number": "859-258-4326"
}
],
"practiceLocations": [
{
"address_1": "1720 Nicholasville Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405031487",
"country_code": "US",
"telephone_number": "859-278-1114",
"fax_number": "859-277-0541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1012 Ival James Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404758278",
"country_code": "US",
"telephone_number": "859-624-3615",
"fax_number": "859-624-2103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Mount Vernon Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403241526",
"country_code": "US",
"telephone_number": "859-278-1114",
"fax_number": "859-277-0541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 Fountain Ct Ste 230",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405091897",
"country_code": "US",
"telephone_number": "859-977-5335",
"fax_number": "859-977-5340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "EDWARD",
"middle_name": "T",
"credential": "MD, MS, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "HI",
"license": "MD17315",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "79106",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "60296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101025060",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.