YONG SEOK CHANG DO
NPI 1003602004
Student in an Organized Health Care Education/Training Program in Tupelo, MS

Active since April 16, 2025PECOS Enrolled
1665 S GREEN ST, TUPELO, MS 38804(662) 377-2189 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yong Seok Chang Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YONG SEOK CHANG DO (NPI 1003602004) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003602004
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameYONG SEOK CHANGCredential: DO
Location Address1665 S GREEN STTupelo, MS 38804-6556
Mailing Address1665 S Green StTupelo, MS 38804-6556
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1003602004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1665 S GREEN ST, Tupelo, MS 38804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yong Seok Chang Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Family Medicine
1665 S GREEN ST
TUPELO, MS 38804
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Family Medicine
1665 S GREEN ST
TUPELO, MS 38804
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yong Chang's NPI number?

The NPI number for Yong Chang is 1003602004. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Yong Chang located?

Yong Chang practices at 1665 S Green St, Tupelo, MS 38804. The listed phone number is (662) 377-2189.

What is Yong Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Yong Chang enrolled in Medicare?

Yes. Yong Chang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yong Chang was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.