WAYNE FAI CHAN


Address: 1500 E Woodrow Wilson Ave, Radiation Therapy, Jackson, MS 39216-5116
Phone: 6013624471

WAYNE FAI CHAN (NPI# 1043233810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043233810
Entity Type Individual
Full Name WAYNE FAI CHAN
Credential MD
Practice Address 1500 E Woodrow Wilson Ave
Radiation Therapy
Jackson
MS 39216-5116
Mailing Address 51 Northtown Dr
19e
Jackson
MS 39211-3600
Practice Telephone 6013624471
Practice Fax Number 6013641588
Mailing Telephone 6103624471
Mailing Fax Number 6013641588
Enumeration Date 2006-07-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
18104 MS Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
A60276 CA Allopathic & Osteopathic Physicians

Other Providers WAYNE CHAN

NPI Name Taxonomy Address Enumeration
1326348483 Wayne Chan Pharmacist 5760 Cottle Rd, San Jose, CA 95123-3624 2010-10-22
1255323473 Wayne Ken Chan Optometrist 229 Berkeley St, Boston, MA 02116-3724 2005-08-16
1659900546 Wayne Elroy Chan Nurse Practitioner 504 State St, Schenectady, NY 12305-2414 2020-04-03
1013275114 Wayne Wayfu Chan Orthopaedic Surgery 119 Belmont St, Worcester, MA 01605-2903 2012-04-25
1669612727 Wayne Chan Psychologist 420 Thomaston St, Zebulon, GA 30295-3387 2009-03-03
1053447383 Wayne Weiching Chan Marriage & Family Therapist 27401 Los Altos, Suite 275, Mission Viejo, CA 92691-6316 2007-02-23

Office Location

Street Address 1500 E WOODROW WILSON AVE
RADIATION THERAPY
City JACKSON
State MS
Zip Code 39216-5116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740264035 Sadeka Tamanna Internal Medicine 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2005-12-01
1881291383 Regina Marie Riley Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-10-07
1811502024 Wendy Hopkins Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-09-14
1528679420 Christopher Michael Mcguffey Physical Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-08-13
1124637319 Kathryn Martin Lewis Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-24
1932727468 Davis Mckenna Simms Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-10
1154948222 Tiffany Floyd Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-06
1962029389 Devonda Y Elliott Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-01
1629693759 Latorya Lashay Smith Dietitian, Registered 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-06-15
1932721669 Aubrey Cain Young Pharmacist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174613830 Vicksburg Oncology Associates LLC Radiology 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640 2006-10-13
1841224433 Regents of The University of Michigan Radiology 1102 East Michigan Ave, Jackson, MI 49201-0010 2006-07-10
1023072485 Paul D Koerner Radiology 322 Hosp Blvd, Cancer Care Center of Jackson, Jackson, TN 38305 2006-04-13
1184607210 Srinivasan Vijayakumar Radiology 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 2005-11-22
1013919216 Richard B Friedman Radiology 1225 N State St, Jackson, MS 39202-2064 2005-06-01
1518969724 Steven E Zachow Radiology 1850 Chadwick Dr, Jackson, MS 39204-3404 2005-06-01
1497757603 Sidney A Johnson Jr. Radiology 2969 Curran Dr N, Jackson, MS 39216-4121 2005-06-01
1144883620 W A Foote Memorial Hospital Inc Radiology 205 N East Ave, Jackson, MI 49201-1753 2019-04-19
1124584800 Teessa Perekattu Kuruvilla Radiology Department of Radiation Oncology, 350 Woodrow Wilson Dr, Jackson, MS 39216-4505 2019-02-18
1194245472 W. A. Foote Memorial Hospital, Inc Radiology 205 N East Ave, Jackson, MI 49201-1753 2017-06-27
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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