BOONCHOO CHANG M.D. – NPI #1609932417
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

BOONCHOO CHANG is a physician located in DOWAGIAC, MI. NPPES has assigned the NPI number 1609932417 to BOONCHOO CHANG on December 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 18 years ago on Dec 28, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOONCHOO CHANG below.

NPI Profile for
BOONCHOO CHANG

NPI Number
1609932417
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BOONCHOO CHANG
Credentials
M.D.
Primary location
417 W HIGH ST
DOWAGIAC, MI 49047-1906
Phone: (269) 782-7150 Fax: (269) 782-7020
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for BOONCHOO CHANG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI1093701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
MI 4301031400
207QA0505X
- Family Medicine / Adult Medicine
MI 4301031400

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.