Paul Andrew Chang, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35078250C Issued in OH

Practice address

2558 W 4TH St
Ontario, OH 44906-1209

Phone

(419) 529-4100

Fax

(419) 529-8700

NPI assigned

Dec 29, 2005

Last updated

Jan 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

University of Miami, LM Miller School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Galion Community Hospital Hospital, Galion, OH, CCN 361325
• Avita Ontario Hospital, Ontario, OH, CCN 360365
• Ohiohealth Shelby Hospital Hospital, Shelby, OH, CCN 361324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1809/brand/1/csg/1/fhir/r4
• FHIR API: https://ihismufhir.osumc.edu/fhir-prd/api/FHIR/R4/
• Direct secure messaging: paul.chang.1@1809.direct.athenahealth.com
• Direct secure messaging: pchang612687@direct.osumc.edu

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.

• Paul a. Chang, MD, Inc.

  • Internal Medicine Physician
  • Ontario, OH
  • NPI 1952466476
  Medicare reassignment NPD Authorized official
• Avita Ontario Hospital

  • General Acute Care Hospital
  • Ontario, OH
  • NPI 1790131050
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avita Ontario Hospital

  • General Acute Care Hospital
  • Ontario, OH
  • NPI 1790131050
  Care Compare affiliation
• Galion Community Hospital

  dba GCH Health Services

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522
  Care Compare affiliation
• Medcentral Health System

  • Critical Access Hospital
  • Mansfield, OH
  • NPI 1487706016
  Care Compare affiliation

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1245217496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3627",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449070627",
            "telephone_number": "419-529-4100",
            "fax_number": "419-529-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061209",
            "telephone_number": "419-529-4100",
            "fax_number": "419-529-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35078250C",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35078250C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2192694",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Campbell, CNP
• Marcus Carbon
• Caring Hearts of Mid-Ohio
• Jill K Caruso, RPH
• Debra Jean Celec, DO
• Choice Express LLC
• Hailey Christian
• Abigail Christman
• Cheryl A Clay, M.D.
• Joshua Dayne Cleary, BS, HAS

• Internal Medicine Physician in Ontario, OH
• Providers in Ontario, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.