NPI 1235691643 · live from the CMS NPI Registry
Jeffrey Chang
Physician Assistant, Surgical in Washington, DC. National Provider Identifier 1235691643, active.
NPI record
| NPI | 1235691643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 900 23rd St Nw, Washington, DC 20037 |
| Practice phone | 202-715-4000 |
| Mailing address | 525 Bryant St Nw, Washington, DC 20059 |
| Enumerated | April 3, 2019 |
| Last updated | January 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SLP001560 (DC) |
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Surgical primary | 363AS0400X | PA200001836 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.