Jimmy C Chang, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C5948 Issued in AR

Practice address

3343 Springhill Dr
Ste 1005
North Little Rock, AR 72117-2930

Phone

(501) 758-9251

Fax

(501) 758-0308

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jchang2363@direct.baptist-healthar.org

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.

• Arkansas Health Group

  • Obstetrics & Gynecology Physician
  • North Little Rock, AR
  • NPI 1184127052
  Medicare reassignment NPD
• Arkansas Health Group

  • Obstetrics & Gynecology Physician
  • North Little Rock, AR
  • NPI 1871324772
  NPD
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Jon N. Chang PLLC

  • Obstetrics & Gynecology Physician
  • North Little Rock, AR
  • NPI 1871081406
  NPD
• Phillip R Alston MD PA

  • Obstetrics & Gynecology Physician
  • North Little Rock, AR
  • NPI 1760557714
  NPD
• Stephen R Marks MD PA

  • Obstetrics & Gynecology Physician
  • North Little Rock, AR
  • NPI 1275625915
  NPD

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1285632463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 SPRINGHILL DR",
            "address_2": "STE 1005",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172930",
            "telephone_number": "501-758-9251",
            "fax_number": "501-758-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 SPRINGHILL DR",
            "address_2": "STE 1005",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172930",
            "telephone_number": "501-758-9251",
            "fax_number": "501-758-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JIMMY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C5948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "11257000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160021272",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111261001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "242061",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Lynn Chambers, COTA
• Lindsey Chance
• Billy Mitchell Chandler Sr., MD
• Blake Michael Chandler
• Bonnie Harland Chandler, PHARMD
• Jonathan Nicholas Chang, M.D.
• Theodore Chang, MD
• Charles a Redmond DDS, PA
• Chase C. Diemer DDS PLLC
• Karen M. Chase, M.D.

• Obstetrics & Gynecology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.

Verify at the official NPI Registry.