SAMUEL CHAN, M.D. (NPI# 1043408230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043408230 |
| Entity Type | Organization |
| Organization Name | SAMUEL CHAN, M.D. |
| Practice Address |
324 E Antietam St Suite 200 Hagerstown MD 21740-5754 |
| Practice Telephone | 3017978822 |
| Practice Fax Number | 3017903748 |
| Mailing Telephone | 3017978822 |
| Mailing Fax Number | 3017903748 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | DR. SAMUEL CHAN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 3017978822 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | D36655 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BLUECROSS BLUES | KDZ2SA | 01 |
| MD | RAILROAD MEDICARE | CJ4601 | 01 |
| BLUE SHIELD OF D.C. | W111 | 01 |
| Street Address |
324 E ANTIETAM ST SUITE 200 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627622 | Rehabilitation Practitioners Inc | Prosthetic/Orthotic Supplier | 324 E Antietam St, Ste 300, Hagerstown, MD 21740-5768 | 2005-05-30 |
| 1801305370 | Sarah Martin | Counselor | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2017-09-27 |
| 1174999650 | Potomac Case Management Services, Inc. | Social Worker | 324 E Antietam St, Suite 301, Hagerstown, MD 21740-5754 | 2015-08-19 |
| 1447626684 | Erin Tack | Counselor | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2015-08-11 |
| 1184989683 | Meritus Medical Center Inc | Clinic/Center | 324 E Antietam St, Hagerstown, MD 21740-5754 | 2012-07-10 |
| 1326304288 | Interstate Psychaitric Care | Psychiatry & Neurology | 324 E Antietam St, Suite 307-a, Hagerstown, MD 21740-5754 | 2012-04-04 |
| 1083908750 | Ehab Shalaby Md, Pa | Specialist | 324 E Antietam St, Suite 306a, Hagerstown, MD 21740-5754 | 2011-05-31 |
| 1861785412 | Pediatric Clinic, LLC | Pediatrics | 324 E Antietam St, Suite 200, Hagerstown, MD 21740-5754 | 2011-05-16 |
| 1326356569 | Downtown Urgent Care LLC | Clinic/Center | 324 E Antietam St, Suite 203, Hagerstown, MD 21740-5754 | 2010-09-22 |
| 1104098540 | Noor Maqsood Siddiqui | Family Medicine | 324 E Antietam St, Suite 305, Hagerstown, MD 21740-5754 | 2008-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477885614 | Lisa Marie Royster | Community Health Worker | 12753 Ailanthus Dr, Hagerstown, MD 21742-4870 | 2010-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251114 | Rebecca S Peterson | Community Health Worker | 5601 Loch Raven Blvd # G4, Baltimore, MD 21239-2945 | 2020-09-25 |
| 1275140097 | Justice Kiplangat Koskei | Community Health Worker | 3001 S Hanover St # Sa-155, Baltimore, MD 21225-1233 | 2020-09-25 |
| 1649880824 | Bianca Sneed | Community Health Worker | 1741 Village Square Ct, Severn, MD 21144-1722 | 2020-08-03 |
| 1144846544 | Jay Pimble | Community Health Worker | 509 Stanwich Ter Uppr Marlboro, Upper Marlboro, MD 20774-8844 | 2020-06-22 |
| 1205459468 | Destiny Michele Murdock | Community Health Worker | 537 Oakland Ave, Baltimore, MD 21212-4809 | 2020-05-22 |
| 1023646726 | Keyawna Scruggs | Community Health Worker | 5511 Moravia Rd, Baltimore, MD 21206-6130 | 2020-03-29 |
| 1962034652 | Lorraine Davis | Community Health Worker | 7420 Crane Pl, Hyattsville, MD 20785-4606 | 2020-02-10 |
| 1033672076 | Darryl Kemp | Community Health Worker | 1311 N Luzerne Ave, Baltimore, MD 21213-3715 | 2019-04-08 |
| 1578033288 | Darrell Louis Parker | Community Health Worker | 422 Kettering Dr, Upper Marlboro, MD 20774-1552 | 2018-11-26 |
| 1548743479 | Sarah Merie Paksima | Community Health Worker | 20004 Hickman Way, Poolesville, MD 20837-2305 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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| 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.