Active NPI
Christopher Yon Chang, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Hazel Park, MI
National Provider Identifier
1215025796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 052042
- Practice address
- 704 E 9 Mile Rd
Hazel Park, MI 48030 - Phone
- (248) 398-2757
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 052042 | MI | Primary |
Addresses
Primary practice location
704 E 9 Mile Rd
Hazel Park, MI 48030
Mailing address
704 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 398-2757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052042 | MI | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Neurology PLC | Past | Accepting new patients | |
| Polyclinic Associates PC | Past | Accepting new patients | |
| D-Care PC | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1215025796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "48030",
"telephone_number": "248-398-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "48030",
"telephone_number": "248-398-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "CHRISTOPHER",
"middle_name": "YON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MI",
"license": "052042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.