DR. EDWIN CHAN


Address: 6619 N Wickham Rd, Melbourne, FL 32940-2006
Phone: 3212599500

DR. EDWIN CHAN (NPI# 1124142054) 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) 1124142054
Entity Type Individual
Full Name DR. EDWIN CHAN
Credential MD
Practice Address 6619 N Wickham Rd
Melbourne
FL 32940-2006
Mailing Address 3109 Wyndham Way
Melbourne
FL 32940-5979
Practice Telephone 3212599500
Enumeration Date 2007-03-17
Last Update Date 2018-01-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME104439 FL Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 57.011962 OH Allopathic & Osteopathic Physicians

Other Providers EDWIN CHAN

NPI Name Taxonomy Address Enumeration
1497293690 Edwin C Chan Pharmacist 1235 W 18th St, Upland, CA 91784-1537 2017-02-08
1851917769 Edwin Yirong Chan Student in an Organized Health Care Education/Training Program University Drive C, Pittsburgh, PA 15240 2020-06-17
1225479280 Edwin Yue-hang Chan Anesthesiology 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 2013-07-07
1245562933 Edwin Chan General Acute Care Hospital 550 1st Ave, Nbv 16n1, New York, NY 10016-6402 2010-02-04
1053427427 Edwin Tak-wing Chan Family Medicine 624 W Duarte Rd, Suite 208, Arcadia, CA 91007-7603 2006-08-21
1982664611 Edwin Kenneth Chan Specialist 13640 39th Ave, Suite 6gb, Flushing, NY 11354-5536 2006-03-25

Office Location

Street Address 6619 N WICKHAM RD
City MELBOURNE
State FL
Zip Code 32940-2006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952385981 Ruben J Pipek Internal Medicine 6619 N Wickham Rd, Melbourne, FL 32940-2006 2005-12-02
1083178735 Angela Marie Armellini Family Medicine 6619 N Wickham Rd, Melbourne, FL 32940-2006 2019-01-28
1679072375 Suntree Endocrinology Internal Medicine 6619 N Wickham Rd, Melbourne, FL 32940-2006 2018-02-08
1942711361 Laura Moncada Nurse Practitioner 6619 N Wickham Rd, Melbourne, FL 32940-2006 2017-10-12
1497296693 Meghan Lytle Galili Internal Medicine 6619 N Wickham Rd, Melbourne, FL 32940-2006 2017-03-20
1720459654 Shannon Spreitzer Nurse Practitioner 6619 N Wickham Rd, Melbourne, FL 32940-2006 2015-10-19
1811301641 Lauren Bullard Counselor 6619 N Wickham Rd, Melbourne, FL 32940-2006 2014-06-19
1124373212 Ami Bhatt Family Medicine 6619 N Wickham Rd, Melbourne, FL 32940-2006 2012-07-16
1033474952 Nikka Cohan Nurse Practitioner 6619 N Wickham Rd, Melbourne, FL 32940-2006 2012-07-06
1427209147 Scott Hardoon Internal Medicine 6619 N Wickham Rd, Melbourne, FL 32940-2006 2008-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700403649 True Motion Physical Therapy and Wellness Clinic/Center 3536 Peninsula Circle, Mlebourne, FL 32940 2020-06-26
1568089431 Live Gracefully Physio and Wellness, Pllc Clinic/Center 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 2020-06-26
1295360592 Hiteshi Patel Pharmacist 3134 Hummingbird Way, Melbourne, FL 32940 2020-03-06
1972133122 Curtis Lynn Curbo Social Worker 3830 Fringetree Lane, Melbourne, FL 32940 2020-01-16
1861038283 Medfast Urgent Care Centers, LLC Clinic/Center 5500 Stadium Parkway, Melbourne, FL 32940 2019-11-20
1134601594 Caroline Grace Bennett Behavior Technician 5500 Murrell Rd Suite 100, Melbourne, FL 32940 2018-09-02
1730682642 Centennial Medical Group Family Medicine 1341 Bedford Drive, Melbourne, FL 32940 2018-03-16
1356849251 Executive Non-emergency Transportation, Inc. Non-emergency Medical Transport (VAN) 3155-02 Suntree Blvd, Melbourne, FL 32940 2018-01-25
1679081160 Brevard Oaks Center, LLC Skilled Nursing Facility 2355 Vidina Drive, Viera, FL 32940 2018-01-18
1275045817 Comfortable Care Dental Health Professionals. P.a. Dentist 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 2017-11-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558970277 Kimberly Gayle Ross Family Medicine 1919 Slone Blvd, Melbourne, FL 32935-4756 2020-07-28
1245706423 Vargas Medical Services LLC Family Medicine 606 Sheridan Rd, Melbourne, FL 32901-3227 2018-10-16
1013467554 First Locums Inc Family Medicine 3248 Cortona Dr, Melbourne, FL 32940-8613 2016-10-07
1922327774 Angela Matthews Family Medicine 2694 Judge Fran Jamieson Way, Overflow Parking Lot, Melbourne, FL 32940 2010-05-19
1013197201 Lauren Romeo Md Pa Family Medicine 1698 W Hibiscus Blvd Ste B, Melbourne, FL 32901-2639 2007-11-06
1023220605 Marta Cyzio Family Medicine 1368 Tipperary Dr, Melbourne, FL 32940-6030 2007-05-04
1578787941 Donna J. Badolato, Md, Pa Family Medicine 8061 Spyglass Hill Rd., Suite 102, Melbourne, FL 32940 2007-04-13
1801914858 Marilyn C. Moss, M.d. Family Medicine 3210 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 2007-03-27
1639217870 Kenneth Robert Mcelynn Family Medicine 7925 N Wickham Rd Ste B, Melbourne, FL 32940-8211 2007-02-01
1760568935 Kristine R Everding Family Medicine 2002 Pennwood Dr, Melbourne, FL 32901-5934 2006-10-31
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32940

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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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