Individual
STEWART MICHAEL CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
887 RIO EAST CT # A, CHARLOTTESVILLE, VA 22901-8004
(434) 979-8116
(434) 979-8880
Mailing address
3075 CLEAR SPRINGS CT, CHARLOTTESVILLE, VA 22911-7219
(434) 974-7077
(434) 979-8880
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103300932
VA
213EP1101X
Primary Podiatric Medicine Podiatrist
0103300932
VA
213ER0200X
Radiology Podiatrist
0103300932
VA
213ES0000X
Sports Medicine Podiatrist
Primary
0103300932
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
0103300932
VA
213ES0131X
Foot Surgery Podiatrist
0103300932
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010151503
—
VA
05
—
010193133
—
VA
01
—
179769
ANTHEM - C'VILLE OFFICE
VA
01
—
179774
ANTHEM - W'BORO OFFICE
VA
01
—
2132454
MAMSI
VA
01
—
306352
SOUTHERN HEALTH
VA
01
—
6661192
CIGNA
VA
01
—
7412732
AETNA
VA
Enumeration date
10/25/2006
Last updated
05/02/2017
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