Physician Compare National (NPI:1194704478)

HEALTHCARE PROVIDER: JENG YUE CHANG MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1194704478
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416144233
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101206001210
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHANG
	Individual professional last name
Provider First Name	JENG
	Individual professional first name
Provider Middle Name	YUE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10212 5TH AVE NE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	SEATTLE
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	981257471
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2063622127
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y