Organization Active NPI

Julie a Chang MD LLC

  • Pulmonary Disease Physician
  • Aiea, HI
National Provider Identifier
1841474210
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD 13801 Issued in HI
Legal business name
JULIE A CHANG MD LLC
Practice address
98-1079 Moanalua Rd
Suite 570
Aiea, HI 96701-4713
Phone
(808) 486-0600
Fax
(808) 486-0633
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Julie Ann Chang, MDNPI 1396885547
Title
Physician
Phone
(808) 946-2937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X MD 13801 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd
Suite 570
Aiea, HI 96701-4713

Mailing address

1314 S King St
Suite 417
Honolulu, HI 96814-1956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000180 HI Part B Supplier - Clinic/Group Practice 8325229198 Receives reassigned benefits from 1 practitioner
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

98-1079 Moanalua Rd
Ste 140
Aiea, HI 96701

98-1079 Moanalua Rd
Ste 570
Aiea, HI 96701
Phone (808) 486-0600

848 S Beretania St
Ste 101
Honolulu, HI 96813

848 S Beretania St
Honolulu, HI 96813

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1841474210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE 417",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 570",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-486-0600",
            "fax_number": "808-486-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A CHANG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-946-2937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "MD 13801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.