Active NPI
Stephen W. Chang, M.D.
- Diagnostic Radiology Physician
- Vienna, VA
National Provider Identifier
1578721593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101242425
- Practice address
- 1980 Gallows Rd
Vienna, VA 22182-3913 - Phone
- (703) 356-9899
- NPI assigned
- May 27, 2008
- Last updated
- Oct 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 246121 | NY | |
| Specialist | 174400000X | 246121 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 0101242425 | VA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25MA09064100 | NJ |
Addresses
Primary practice location
1980 Gallows Rd
Vienna, VA 22182-3913
Mailing address
1980 Gallows Rd
Vienna, VA 22182-3913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Laboratories, Inc. | Past | Accepting new patients | |
| Radiology Associates of Ridgewood P a | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Athena Imaging
- Diagnostic Radiology Physician
- Tysons Corner, VA
- NPI 1427487966
-
dba Synergy Medical or Synergy Health
- General Practice Physician
- Vienna, VA
- NPI 1689076283
-
dba Synergy Urgent Care
- General Practice Physician
- Tysons Corner, VA
- NPI 1679975270
-
- Clinical Medical Laboratory
- Tysons Corner, VA
- NPI 1063477123
-
- Mammography Clinic/Center
- Waldwick, NJ
- NPI 1336136662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1578721593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 GALLOWS RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 GALLOWS RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823913",
"telephone_number": "703-356-9899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "STEPHEN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "246121",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "246121",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101242425",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09064100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.