Active NPI
William Chang, MD
- General Practice Physician
- Cranston, RI
National Provider Identifier
1700807567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 06631
- Practice address
- 934 Park Ave
Cranston, RI 02910-2708 - Phone
- (401) 941-3166
- Fax
- (401) 941-3122
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 06631 | RI | Primary |
Addresses
Primary practice location
934 Park Ave
Cranston, RI 02910-2708
Mailing address
402 Woodhaven CT
Cranston, RI 02920-2958
Phone (401) 463-9158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7001847 | Medicaid | RI |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06631 | RI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warwick Medical Walk in | Past | Accepting new patients | |
| Cranston East Medical Clinic | Past | Accepting new patients | |
| Midland Medical Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Medicine Physician
- Cranston, RI
- NPI 1396977823
-
- Urgent Care Clinic/Center
- Cranston, RI
- NPI 1407871270
-
- Emergency Medicine Physician
- Warwick, RI
- NPI 1265584395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1700807567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 WOODHAVEN CT",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029202958",
"telephone_number": "401-463-9158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 PARK AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029102708",
"telephone_number": "401-941-3166",
"fax_number": "401-941-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "RI",
"license": "06631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001847",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.