Active NPI
Synergy Medical Real Estate Holdings, LLC
- Multi-Specialty Clinic/Center
- Huntsville, AL
National Provider Identifier
1720680796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SYNERGY MEDICAL REAL ESTATE HOLDINGS, LLC
- Practice address
- 7105 Bailey Creek Cir SE Ste B
Huntsville, AL 35802-2797 - Phone
- (256) 603-5651
- NPI assigned
- Nov 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Chang, MD
- Title
- Employee
- Phone
- (256) 603-5651
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | |||
| Gynecology Physician | 207VG0400X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Research Clinic/Center | 261QR1100X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
7105 Bailey Creek Cir SE Ste B
Huntsville, AL 35802-2797
Mailing address
7105 Bailey Creek Cir SE Ste B
Huntsville, AL 35802-2797
Phone (256) 603-5651
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605225600000",
"number": "1720680796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7105 BAILEY CREEK CIR SE STE B",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022797",
"telephone_number": "256-603-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7105 BAILEY CREEK CIR SE STE B",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022797",
"telephone_number": "256-603-5651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY MEDICAL REAL ESTATE HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "EMPLOYEE",
"authorized_official_telephone_number": "256-603-5651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.