Changes Health, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHANGES HEALTH, LLC

Practice address

12780 Waterford Lakes Prwy
Suite 100
Orlando, FL 32828-4501

Phone

(407) 282-7300

Fax

(407) 681-4603

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ismael A Beloso, D.O.

Title

Owner

Phone

(407) 282-7300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1841620531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PRWY",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "407-282-7300",
            "fax_number": "407-681-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PRWY",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "407-282-7300",
            "fax_number": "407-681-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BELOSO",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-282-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750538922",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS10148",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Chiapei Chang, MD
• Patrick David Chang, M.D.
• Steven Ki Wan Jun Chang
• Su C Chang, CRNA
• Tania Ayleen Chang
• Changing Hearts LLC
• Changing Trends Behavior Consulting, LLC
• Annette Marjorie Channer, ARNP
• Lena Channer, RN
• Kenny Chantasi, DO

• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.