Chun S Chang, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD032584L Issued in PA

Practice address

41 Dorchester Dr
Dallas, PA 18612-1401

Phone

(570) 552-6195

Fax

(570) 552-6020

NPI assigned

Sep 2, 2005

Last updated

Mar 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ecumenical Enterprises Inc

  dba Meadows Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Dallas, PA
  • NPI 1134124480
  NPD (past)
• Luzerne Wyoming County Mental Health Center #1

  dba Community Counseling Services of NEPA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilkes Barre, PA
  • NPI 1487774824
  NPD (past)
• Luzerne Wyoming County Mental Health Center #1

  dba Behavioral Health Services of Wyoming Valley

  • Psychiatric Hospital
  • Kingston, PA
  • NPI 1861425159
  NPD (past)
• On Site Dermatology of Pennsylvania PLLC

  • Dermatology Physician
  • Lower Gwynedd, PA
  • NPI 1114369873
  NPD (past)
• Vohra Post Acute Care Physicians of the Northeast PA

  • Family Medicine Physician
  • Bryn Mawr, PA
  • NPI 1275969131
  NPD (past)
• William H Boyle, MD PC

  • Family Medicine Physician
  • Forty Fort, PA
  • NPI 1760504617
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1942294111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DORCHESTER DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121401",
            "telephone_number": "570-552-6195",
            "fax_number": "570-552-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DORCHESTER DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121401",
            "telephone_number": "570-552-6195",
            "fax_number": "570-552-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CHUN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD032584L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005540540005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas W Byron, M.D.
• Dwin E Campbell, D.O.
• Vincent L. Carolan, LCSW, LPC
• Kimberly Carpenter, DPT
• Peter Frederick Casterline, M.D.
• John D. Chiampi, PH.D.
• Robin Rachael Chiapuzzi, MSPT
• Cip Rehabilitation Inc
• Anthony Cipoletti, OTR/L
• Richard J Cipoletti, D.P.T

• Psychiatry Physician in Dallas, PA
• Providers in Dallas, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.