Individual provider Active NPI

Adoracion A Palacio-Chang, MD

  • Internal Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1295833259
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AP032345 Issued in MI
Practice address
39880 Van Dyke Ave
Suite 203
Sterling Heights, MI 48313-4668
Phone
(586) 264-1030
Fax
(586) 264-1031
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AP032345 MI Primary

Addresses

Primary practice location

39880 Van Dyke Ave
Suite 203
Sterling Heights, MI 48313-4668

Mailing address

39880 Van Dyke Ave
Suite 203
Sterling Heights, MI 48313-4668
Phone (586) 264-1030

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AP032345MIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1295833259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39880 VAN DYKE AVE",
            "address_2": "SUITE 203",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134668",
            "telephone_number": "586-264-1030",
            "fax_number": "586-264-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39880 VAN DYKE AVE",
            "address_2": "SUITE 203",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134668",
            "telephone_number": "586-264-1030",
            "fax_number": "586-264-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO-CHANG",
        "first_name": "ADORACION",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AP032345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

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

Verify at the official NPI Registry.