DR. GARY CHUN-I AN (NPI# 1093829830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093829830 |
| Entity Type | Individual |
| Full Name | DR. GARY CHUN-I AN |
| Credential | MD |
| Practice Address |
111 Colchester Ave Burlington VT 05401-1473 |
| Mailing Address |
2540 W Chicago Ave # 2 Chicago IL 60622-4517 |
| Practice Telephone | 8028473790 |
| Practice Fax Number | 3126951462 |
| Mailing Telephone | 3124934872 |
| Mailing Fax Number | 3128649545 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
042.0014189 | VT | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
036-087054 | IL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036-087054 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 356670 | 05 |
| Street Address |
111 COLCHESTER AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548354 | Richard A. Boothby | Obstetrics & Gynecology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2005-06-16 |
| 1992304513 | Jennifer Smith Henry | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-23 |
| 1922606581 | Jessica Fischer | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-15 |
| 1922615855 | Emily R Pichler | Psychologist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-09-24 |
| 1285257618 | Nadia Stefania Fletcher | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-05-20 |
| 1538781380 | Jeffrey Raymond Gonzalez | Pharmacist | 111 Colchester Ave, Mailstop 272ba1, Burlington, VT 05401 | 2020-05-15 |
| 1588292874 | Breshawn Best | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1528696853 | Nektarios Konstantinopoulos | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1457989071 | Siddique Tanzeem Akram | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-30 |
| 1184252124 | Steven Direda II | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396798005 | Margaret A Tandoh | Surgery | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-05-17 |
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on DR. GARY CHUN-I AN.
| 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.