Organization Active NPI

Patrick Chang

  • Family Medicine Physician
  • Rochester, MI
National Provider Identifier
1992402127
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PATRICK CHANG
Practice address
3807 Woodmonte Dr
Rochester, MI 48306-4798
Phone
(248) 404-7716
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Ms. Vanessa Glad Burton
Title
Biller
Phone
(810) 919-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3807 Woodmonte Dr
Rochester, MI 48306-4798

Mailing address

2235 S Linden Rd
Flint, MI 48532-5412
Phone (810) 919-2212

Other names 1

  • PRIMECARE LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1992402127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325412",
            "telephone_number": "810-919-2212",
            "fax_number": "810-733-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 WOODMONTE DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064798",
            "telephone_number": "248-404-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK CHANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "GLAD",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "810-919-2212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMECARE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.