Individual provider Active NPI

Emerson Yang Chang, PA-C

  • Medical Physician Assistant
  • Laurel, MD
National Provider Identifier
1710127741
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003934 Issued in MD
Practice address
7350 Van Dusen Rd
Suite 130
Laurel, MD 20707-5263
Phone
(301) 560-4747
Fax
(301) 776-1725
NPI assigned
Mar 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003934 MD Primary

Addresses

Primary practice location

7350 Van Dusen Rd
Suite 130
Laurel, MD 20707-5263

Mailing address

7350 Van Dusen Rd
Suite 130
Laurel, MD 20707-5263
Phone (301) 560-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140805001245 MD Practitioner - Physician Assistant 2466684964 Reassigns benefits to 1 organization
I20150731015990 DC Practitioner - Physician Assistant 2466684964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Padder Health Services LLCGroup PAC ID 7012072648, 20 clinicians

Practice addresses (Care Compare)

7350 Van Dusen Rd
Laurel, MD 20707-5263
Phone (301) 560-4747

7350 Van Dusen Rd
Suite 130
Laurel, MD 20707-5231

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Padder Health Services, LLC CurrentSince May 24, 2014 Accepting new patients
Padder Health Services, LLC CurrentSince May 24, 2014 Accepting new patients
Padder Health Services, LLC CurrentSince May 20, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8850 Columbia 100 Pkwy
Ste 308
Columbia, MD 21045
Phone (301) 560-4747

8850 Columbia 100 Pkwy
Ste 301
Columbia, MD 21045
Phone (240) 456-4772

7350 Van Dusen Rd
Ste 130
Laurel, MD 20707
Phone (301) 498-8880

7350 Van Dusen Rd
Ste B40
Laurel, MD 20707
Phone (240) 456-4772

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEBAA
  • Direct secure messaging: emerson.chang@fphs.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1710127741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 130",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-560-4747",
            "fax_number": "301-776-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 130",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-560-4747",
            "fax_number": "301-776-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EMERSON",
        "middle_name": "YANG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.