David G Changaris, MD

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

23169 Issued in KY

Practice address

801 Barret Ave
Suite 103
Louisville, KY 40204-1747

Phone

(502) 584-6852

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 30, 2013 through Jun 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922076728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 17TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402031212",
            "telephone_number": "502-445-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041747",
            "telephone_number": "502-584-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGARIS",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "KY",
            "license": "23169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Karen Chang-Wai-Ling, M.D.
• Bruce Shoo Tang Chang, MD
• Jea Hoon Chang, DMD
• Maggie Yanting Chang, MD
• Freeman Tichatonga Changamire, M.D., SC.D., MBA
• Ju H Chao, D.O.
• Brittany Andriot Chapman, MD
• Callie Chapman
• David Ryan Chapman
• Jacqueline Chapman

• All providers in Louisville, KY
• Trauma Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.