Active NPI
Edwin Y Chang MD PLLC
- Plastic Surgery Physician
- Spokane, WA
National Provider Identifier
1154594794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- EDWIN Y CHANG MD PLLC
- Practice address
- 235 E Rowan Ave
Ste 206
Spokane, WA 99207-1240 - Phone
- (509) 484-1212
- Fax
- (509) 484-1277
- NPI assigned
- Apr 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edwin Y Chang
- Title
- Owner
- Phone
- (509) 484-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
235 E Rowan Ave
Ste 206
Spokane, WA 99207-1240
Mailing address
235 E Rowan Ave
Ste 206
Spokane, WA 99207-1240
Phone (509) 484-1212
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124940 | Medicaid | WA | |
| 8947213 | Other | WA | VICTIM'S OF CRIME PROVIDER # |
| 0230584 | Other | WA | LABOR & INDUSTRIES PROVIDER # |
| 2355CH | Other | ASURIS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Spokane, WA
- NPI 1750385209
-
- Plastic Surgery Physician
- Spokane, WA
- NPI 1982608600
-
- Plastic and Reconstructive Surgery Physician
- Tampa, FL
- NPI 1619121878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1154594794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 E ROWAN AVE",
"address_2": "STE 206",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071240",
"telephone_number": "509-484-1212",
"fax_number": "509-484-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E ROWAN AVE",
"address_2": "STE 206",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071240",
"telephone_number": "509-484-1212",
"fax_number": "509-484-1277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWIN Y CHANG MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-03",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-484-1212",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124940",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VICTIM'S OF CRIME PROVIDER #",
"identifier": "8947213",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES PROVIDER #",
"identifier": "0230584",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS",
"identifier": "2355CH",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.