Phyllis Chang, M.D.

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

26997 Issued in IA

Practice address

604 5TH St
Coralville, IA 52241-2304

Phone

(319) 358-8788

Fax

(319) 351-9278

NPI assigned

Nov 28, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phyllis Chang, M.D., PLC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Coralville, IA
  • NPI 1083780266
  Authorized official Same address or phone

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407922768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 5TH ST",
            "address_2": "PO BOX 5036",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412304",
            "telephone_number": "319-358-8788",
            "fax_number": "319-351-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 5TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412304",
            "telephone_number": "319-358-8788",
            "fax_number": "319-351-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "IA",
            "license": "26997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1273599",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maranda Cassidy
• Christopher John Caster, D.D.S.
• Matthew Scott Cessna, LPT
• Maurice C Champion, MD
• Gloria Chang
• Christina M. Charis-Donelson, M.D.
• Fang Chen, PHARMD
• Jiamei H Chen, D.C
• Natalia Aida Cherjovsky, TLMFT
• Ashley Rae Chizek, PT

• Surgery of the Hand (Plastic Surgery) Physician in Coralville, IA
• Providers in Coralville, IA by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.