Active NPI
Joseph E Chang, MD
- Urology Physician
- Du Bois, PA
National Provider Identifier
1659470748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD038261L
- Practice address
- 145 Hospital Ave
Suite 200
Du Bois, PA 15801-1462 - Phone
- (814) 375-9200
- Fax
- (814) 375-9980
- NPI assigned
- Sep 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 19472 | MS | |
| Urology Physician | 208800000X | MD038261L | PA | Primary |
Addresses
Primary practice location
145 Hospital Ave
Suite 200
Du Bois, PA 15801-1462
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102158812 | Medicaid | PA | |
| 00120557 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19472 | MS | MD | Urology Physician |
| MD038261L | PA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1659470748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL AVE",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011440",
"telephone_number": "814-375-9200",
"fax_number": "814-375-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 200",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011462",
"telephone_number": "814-375-9200",
"fax_number": "814-375-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JOSEPH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "19472",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD038261L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102158812",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120557",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.