Active NPI
Angela H. Chang, MD
- Family Medicine Physician
- Stillwater, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27541
- Practice address
- 1815 W 6TH Ave
Stillwater, OK 74074-4202 - Phone
- (405) 743-7300
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TRN11002 | FL | |
| Family Medicine Physician | 207Q00000X | ME106278 | FL | |
| Family Medicine Physician | 207Q00000X | 27541 | OK | Primary |
Addresses
Primary practice location
1815 W 6TH Ave
Stillwater, OK 74074-4202
Mailing address
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3347
Phone (918) 488-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002428900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296
Hospital & facility affiliations
- Cayuga Medical Center at Ithaca
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN11002 | FL | MD | Family Medicine Physician |
| 27541 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cma Medical Practice PLLC | Current | Accepting new patients | |
| Cayuga Medical Associates, PC | Current | Accepting new patients |
Locations
1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Emergency Medicine Physician
- Ithaca, NY
- NPI 1962985564
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1679776199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE",
"address_2": "SUITE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363347",
"telephone_number": "918-488-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744202",
"telephone_number": "405-743-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "ANGELA",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "TRN11002",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME106278",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "27541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002428900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.