Alvaro N. Changco, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD035890L Issued in PA

Legal business name

ALVARO N. CHANGCO, M.D., INC.

Practice address

#14 Route 917
Cokeburg, PA 15324

Phone

(724) 945-6128

Fax

(724) 945-6252

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alvaro N Changco, M.D.

Title

President

Phone

(724) 945-6128

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1508992553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "COKEBURG",
            "state": "PA",
            "postal_code": "153240232",
            "telephone_number": "724-945-6128",
            "fax_number": "724-945-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#14 ROUTE 917",
            "city": "COKEBURG",
            "state": "PA",
            "postal_code": "15324",
            "telephone_number": "724-945-6128",
            "fax_number": "724-945-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARO N. CHANGCO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "CHANGCO",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-945-6128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD035890L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1937559",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvaro N Changco, MD

• All providers in Cokeburg, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.