Clayton W Chang, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD024824E Issued in PA

Practice address

933 N Charlotte St
Suite 101
Pottstown, PA 19464-3974

Phone

(610) 323-6566

Fax

(610) 323-9267

NPI assigned

Apr 14, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1346204328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N CHARLOTTE ST",
            "address_2": "SUITE 101",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643974",
            "telephone_number": "610-323-6566",
            "fax_number": "610-323-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N CHARLOTTE ST",
            "address_2": "SUITE 101",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643974",
            "telephone_number": "610-323-6566",
            "fax_number": "610-323-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CLAYTON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD024824E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE INS",
            "identifier": "0045917000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen B Chamberlain, PT
• Gretchen Chambers
• Leigh A Chancler, MA, NCC
• Celeena Chandardat
• Laura Chandler, MA, LPC
• Janet Yushang Chang, DMD
• Gregory John Chapis, M.D.
• Charles E. Vickerman MD PC
• Zaundra Dee Charles
• Riddhi Chaudhari

• Internal Medicine Physician in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.