Michael W Chang, MD, PHD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD00029827 Issued in WA

Practice address

12340 NE 8TH St
Suite #101
Bellevue, WA 98005-3189

Phone

(425) 603-1988

Fax

(425) 451-2696

NPI assigned

Nov 2, 2006

Last updated

Sep 12, 2008By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1982782348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 NE 8TH ST",
            "address_2": "SUITE #101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053189",
            "telephone_number": "425-603-1988",
            "fax_number": "425-451-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 NE 8TH ST",
            "address_2": "SUITE #101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053189",
            "telephone_number": "425-603-1988",
            "fax_number": "425-451-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00029827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8139982",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "113645",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250006253",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Chang, PT, DPT, GCS, CEEAA
• Julietta Hona Chang, MD
• Jung Eun Chang, ND
• Kelson Chang
• Lily Jei-Ho Chang, ND, EAMP
• Richard Chang, DDS
• Ya-Wen Chang, RD
• Yoojung Chang
• Roshni Changela, PA-C
• Christy Lynn Chantel, LISW

• Physical Medicine & Rehabilitation Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.