NPI 1780768705 · live from the CMS NPI Registry
Stewart Michael Chang, D.P.M.
Podiatrist, Sports Medicine in Charlottesville, VA. National Provider Identifier 1780768705, active.
NPI record
| NPI | 1780768705 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Sports Medicine 213ES0000X |
| Practice location | 887 Rio East Ct # A, Charlottesville, VA 22901 |
| Practice phone | 434-979-8116 |
| Mailing address | 3075 Clear Springs Ct, Charlottesville, VA 22911 |
| Enumerated | October 25, 2006 |
| Last updated | May 2, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | 0103300932 (VA) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 0103300932 (VA) |
| Podiatrist | 213E00000X | 0103300932 (VA) |
| Podiatrist, Sports Medicine primary | 213ES0000X | 0103300932 (VA) |
| Podiatrist, Radiology | 213ER0200X | 0103300932 (VA) |
| 213ES0131X | 0103300932 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.