Amie C Chang, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2005031799 Issued in MO

Practice address

11525 Olde Cabin Rd
Creve Coeur, MO 63141-7146

Phone

(314) 997-0554

Fax

(314) 997-5086

NPI assigned

Aug 20, 2006

Last updated

Feb 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1366557209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 OLDE CABIN RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417146",
            "telephone_number": "314-997-0554",
            "fax_number": "314-997-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 OLDE CABIN RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417146",
            "telephone_number": "314-997-0554",
            "fax_number": "314-997-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "AMIE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2005031799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "000097382",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "218233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Laura M. Chackes-Tonopolsky, PSY D
• Sai Deepika Challapalli, MD
• Alexander George Chamessian, MD PHD
• Noelle Chandler
• Divya Chauhan, M.D.
• Kemin Chen, PA
• John Jeonhwan CHI, MD
• Meridith Childers, COTA/L
• Childrens Endocrine Care of St. Louis, LLC

• Physician Assistant in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.