Wellformed AI

NPI 1356570980 · live from the CMS NPI Registry

Johanna Chang, M.D.

Radiology, Pediatric Radiology in Hudson, OH. National Provider Identifier 1356570980, active.

NPI record

NPI1356570980 Type 1 · individual
StatusActive
Primary specialtyRadiology, Pediatric Radiology 2085P0229X
Practice location5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236
Practice phone330-655-1869
EnumeratedJuly 2, 2009
Last updatedOctober 15, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202XA110028 (CA)
Radiology, Pediatric Radiology primary2085P0229XA110028 (CA)
Radiology, Diagnostic Radiology2085R0202X265398 (MA)
Radiology, Diagnostic Radiology2085R0202X54842 (CT)
Radiology, Pediatric Radiology2085P0229X54842 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.