Paul a. Chang, MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PAUL A. CHANG, MD, INC.

Practice address

2558 W 4TH St
Ontario, OH 44906-1209

Phone

(419) 529-4100

Fax

(419) 529-8700

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul A Chang, M.D.NPI 1245217496

Title

Owner

Phone

(419) 529-4100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1809/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Paul Andrew Chang, MD

  • Internal Medicine Physician
  • Ontario, OH
  • NPI 1245217496
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1952466476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3627",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44907",
            "telephone_number": "419-529-4100",
            "fax_number": "419-529-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061209",
            "telephone_number": "419-529-4100",
            "fax_number": "419-529-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. CHANG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-529-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ontario Medical Spine and Joint LLC
• Ontario Minor Medical, LLC
• Stephen Page, NONMEDICALTRANSPORT
• Jory Parton
• Daxesh Patel, DDS
• Anil Edward Paul, M.D.
• Joseph Perri
• Roger Perri
• Daniel Peterson
• Saundra Peterson

• Internal Medicine Physician in Ontario, OH
• Providers in Ontario, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.