Chang Skin Surgery Center LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHANG SKIN SURGERY CENTER LLC

Practice address

2117 General Booth Blvd
Virginia Beach, VA 23454-5803

Phone

(757) 689-8183

Fax

(757) 689-8783

NPI assigned

Jun 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Chang, MDNPI 1265548929

Title

Provider

Phone

(757) 689-8183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence K. Chang, M.D.

  • Dermatology Physician
  • Virginia Beach, VA
  • NPI 1265548929
  Medicare reassignment Care Compare group NPD Authorized official
• Justin Sachs

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1689335911

  VA

  Medicare reassignment Care Compare group
• Shawn S. Khan, PA-C

  • Physician Assistant
  • Alexandria, VA
  • NPI 1649828096
  Medicare reassignment
• Tiffany M Sloan, PA-C

  • Physician Assistant
  • Virginia Beach, VA
  • NPI 1972886802
  NPD (past)

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1326889791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 GENERAL BOOTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545803",
            "telephone_number": "757-689-8183",
            "fax_number": "757-689-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 GENERAL BOOTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545803",
            "telephone_number": "757-689-8183",
            "fax_number": "757-689-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG SKIN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "757-689-8183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke M Chandler, DPT
• Kasai Chandler
• Lauren Chandler
• Submetreas Chandler
• Synteace Chandler
• Lawrence K. Chang, M.D.
• Sambhavy Chapagain
• Kelsey Chapman, PSY.D.
• Lauren Chapman
• Tiaunia Chapman

• Dermatology Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.