Emery J Chang LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00038868 Issued in WA

Legal business name

EMERY J CHANG LLC

Practice address

11300 Bridgeport Way SW
Unit C
Lakewood, WA 98499-3052

Phone

(253) 984-6200

Fax

(253) 984-1100

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Emery J Chang, M.D.

Title

Doctor

Phone

(253) 984-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881745172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 BRIDGEPORT WAY SW",
            "address_2": "UNIT C",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993052",
            "telephone_number": "253-984-6200",
            "fax_number": "253-984-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 BRIDGEPORT WAY SW",
            "address_2": "UNIT C",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993052",
            "telephone_number": "253-984-6200",
            "fax_number": "253-984-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERY J CHANG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "EMERY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "253-984-6200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00038868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116466",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.