NPIMap

Individual provider Active NPI

William Wei-Jung Chang, MD

  • Physical Medicine & Rehabilitation Physician
  • Lima, OH
National Provider Identifier
1245223619
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35-092684 Issued in OH
Practice address
770 W High St Ste 160
Lima, OH 45801-5900
Phone
(419) 996-5224
Fax
(419) 996-5276
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X K5079 TX
Physical Medicine & Rehabilitation Physician 208100000X 188561 NY
Rehabilitation Practitioner 225400000X 188561 NY
Physical Medicine & Rehabilitation Physician 208100000X 35-092684 OH Primary

Addresses

Primary practice location

770 W High St Ste 160
Lima, OH 45801-5900

Mailing address

770 W High St Ste 160
Lima, OH 45801-5900

Other identifiers 1

IdentifierTypeStateIssuer
3013198MedicaidOH

Other names 1

  • Wei-Jung William Chang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000132 OH Practitioner - Physical Medicine and Rehabilitation 0941374854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

770 W High St
Suite 160
Lima, OH 45801-5900
Phone (419) 996-5224

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-092684OHMDPhysical Medicine & Rehabilitation Physician
K5079TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Feb 1, 2021 Accepting new patients
Mercy Health-St Ritas Medical Center LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224

Interoperability endpoints

  • Direct secure messaging: wchang842495@direct.bsmhealth.org

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1245223619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 160",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 160",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015900",
            "telephone_number": "419-996-5224",
            "fax_number": "419-996-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WILLIAM",
        "middle_name": "WEI-JUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K5079",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "188561",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "188561",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35-092684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WEI-JUNG",
            "last_name": "CHANG",
            "middle_name": "WILLIAM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.