ELIZABETH CHAN (NPI# 1104351352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104351352 |
| Entity Type | Individual |
| Full Name | ELIZABETH CHAN |
| Practice Address |
2341 W Lincoln Rd Kokomo IN 46902-8012 |
| Practice Telephone | 8444243668 |
| Practice Fax Number | 3175756909 |
| Mailing Telephone | 8444243668 |
| Mailing Fax Number | 3175756909 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
07001339A | IN | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | JEWISH HOSPITAL | 27-1408630 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497386189 | Elizabeth Chan | Counselor | 1152 Jenny Dr Apt G, Sycamore, IL 60178-9536 | 2020-01-31 |
| 1548622541 | Elizabeth Chan | Student in an Organized Health Care Education/Training Program | 355 E Erie St Ste 21-2127, Chicago, IL 60611-3167 | 2016-03-28 |
| 1508225418 | Elizabeth Chan | Community Health Worker | 544 International Blvd, #9, Oakland, CA 94606-2973 | 2016-02-19 |
| 1295840197 | Elizabeth Y Chan | Internal Medicine | 33501 1st Way S, Federal Way, WA 98003-6208 | 2006-08-20 |
| Street Address |
2341 W LINCOLN RD |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-8012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073896221 | Richard A. Gard, Md | Obstetrics & Gynecology | 2341 W Lincoln Rd, Kokomo, IN 46902-8012 | 2011-09-23 |
| 1932525698 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 2341 W Lincoln Rd, Kokomo, IN 46902-8012 | 2014-03-05 |
| 1790042638 | Colin James Blackburn | Podiatrist | 2341 W Lincoln Rd, Kokomo, IN 46902-8012 | 2012-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235205014 | Pratapsinh Gohil | Podiatrist | 209 Corwin Ln, Kokomo, IN 46902-6612 | 2006-11-25 |
| 1447252028 | Joshua W Keyes | Podiatrist | 1791 W Lincoln Road, Kokomo, IN 46092-3274 | 2005-08-12 |
| 1568911337 | Charles Allison Dpm LLC | Podiatrist | 3611 S Reed Rd, Ste 104, Kokomo, IN 46902-3806 | 2016-09-22 |
| 1003901133 | Douglas Blacklidge | Podiatrist | 2330 S Dixon Rd, Kokomo, IN 46902-6400 | 2006-10-04 |
| 1669566725 | Richard Lee Thatcher | Podiatrist | 3611 S Reed Rd, Suite 104, Kokomo, IN 46902-3828 | 2006-10-03 |
| 1720173149 | West Sycamore Podiatry, Inc | Podiatrist | 3611 S Reed Rd, Suite 104, Kokomo, IN 46902-3828 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
| 1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
| 1952846776 | Veronica Alexis Kacmar-fedorchak | Podiatrist | 3215 Willowcreek Rd, Portage, IN 46368-5013 | 2017-01-03 |
| 1629529029 | Associated Surgeons and Physicians, LLC | Podiatrist | 7920 W. Jefferson Blvd., Ste. 230, Fort Wayne, IN 46804-4166 | 2016-10-20 |
| 1902359714 | Aamir Mahmood | Podiatrist | 10176 W 400 N Ste D, Michigan City, IN 46360-9009 | 2016-07-28 |
| 1437508116 | Brian K. Penrose | Podiatrist | 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | 2016-06-03 |
| 1558756023 | Sarah Standish | Podiatrist | 1001 Hadley Rd Ste 105, Mooresville, IN 46158-1884 | 2015-04-01 |
| 1467872796 | William Joseph Edward Adams | Podiatrist | 1 Memorial Sq Ste 2100, Greenfield, IN 46140-1380 | 2014-04-25 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1245679802 | Ansgar Steven Olsen | Podiatrist | 360 Plaza Dr Ste B, Columbus, IN 47201-2960 | 2013-06-17 |
| Find all providers with the same taxonomy | ||||
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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.