Simon K Chang MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD 6692 Issued in HI

Legal business name

SIMON K CHANG MD LLC

Practice address

1100 Ward Ave
Suite 701
Honolulu, HI 96814-1600

Phone

(808) 599-2854

Fax

(808) 599-2891

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Simon K Chang, MDNPI 1285635458

Title

MD

Phone

(808) 599-2854

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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 1

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

• Simon Kuochen Chang, M.D.

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
  • NPI 1285635458
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1346346384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MILILANI ST STE 702A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132918",
            "telephone_number": "808-523-9363",
            "fax_number": "808-523-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE",
            "address_2": "SUITE 701",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141600",
            "telephone_number": "808-599-2854",
            "fax_number": "808-599-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON K CHANG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "808-599-2854",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD 6692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Austin Simmons, DDS
• Sylvia Hisako Simmons, C.O.T.A.
• Tamika Simmons
• Joan Christel Marcial Simms, APRN
• Simon B Kim LLC
• Camilla N Simon, APRN
• Haley Simon, BEHAVIOR TECHNICIAN
• Imrusty Simon, RBT
• Wendy Simonetti, LCSW, CSAC
• Emily Simonian

• Obstetrics & Gynecology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Obstetrics & Gynecology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.