Suzie Park Chang, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00049385 Issued in WA

Practice address

32124 1St Ave S
Suite Number 300
Federal Way, WA 98003-5761

Phone

(253) 941-0673

NPI assigned

Jul 19, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Northwest Physicians Medical Group, PLLC

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1043513435

  Pediatrics

  NPD (past)
• Umbrella Pediatrics PC

  • Pediatrics Physician
  • Mountlake Terrace, WA
  • NPI 1720772387
  NPD (past)
• University Place Pediatric Clinic P S

  • Pediatrics Physician
  • Fircrest, WA
  • NPI 1497922421
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1427401082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S",
            "address_2": "SUITE NUMBER 300",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S",
            "address_2": "SUITE NUMBER 300",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761",
            "telephone_number": "253-941-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SUZIE",
        "middle_name": "PARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00049385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sik CHI Stanley Chan, L.AC. LMP
• Endeah Lea Chandler, DC
• Craig Martin Chang, PTA
• Dong Wook Chang, MD
• Julia I Chang, DDS
• Changa LLC
• Chieh Chao, LMP
• Samuel Chu CHI Chao, M.D.
• Haley Chapman
• Reagan A Charuhas, MA

• Pediatrics Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.