PETER CHAN (NPI# 1134160708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134160708 |
| Entity Type | Individual |
| Full Name | PETER CHAN |
| Credential | DO |
| Practice Address |
1600 Sw 119th St Oklahoma City OK 73170-4908 |
| Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4054258100 |
| Practice Fax Number | 4054258109 |
| Mailing Telephone | 4054258100 |
| Mailing Fax Number | 4054258109 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2354 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 10048020B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174905152 | Peter Lung-sang Chan | Internal Medicine | 9 Hooulu Place, Kaunakakai, HI 96748-1649 | 2015-06-25 |
| 1942447826 | Peter Wing Kwong Chan | Pharmacist | 5310 Glickman Ave, Temple City, CA 91780-3328 | 2009-01-14 |
| 1407917610 | Peter K.t. Chan | Acupuncturist | 706 Geary St, San Francisco, CA 94109-7302 | 2006-12-12 |
| 1427098151 | Peter Kit Chun Chan | Dentist | 10714 W Bellfort St ., Suite #a, Houston, TX 77099-4749 | 2006-06-08 |
| 1578549986 | Peter S. Chan | Specialist | 1590 Route 206 North Bound, Bedminster, NJ 07921 | 2005-12-16 |
| 1649637489 | Peter Chan | Nurse Practitioner | 11821 East Fwy Ste 175, Houston, TX 77029-1960 | 2016-01-25 |
| 1093998361 | Peter Gar-jun Chan | Internal Medicine | 1125 W Jefferson St Ste 201, Franklin, IN 46131 | 2007-12-10 |
| 1679616833 | Peter Chan | Rehabilitation Practitioner | 9864 Baldwin Pl, El Monte, CA 91731-2202 | 2007-02-15 |
| Street Address |
1600 SW 119TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73170-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166499 | Shannon L Johnson | Nurse Practitioner | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2005-10-05 |
| 1245766864 | Ahmed Salous | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2017-05-02 |
| 1881138352 | Jennifer Paulley-micue | Social Worker | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2016-12-18 |
| 1467893941 | Erin Nagode Nguyen | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2013-07-11 |
| 1063850766 | Shannon Miller | Nurse Practitioner | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2013-06-05 |
| 1063723195 | Joseph Nguyen | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2010-06-23 |
| 1568637353 | Kyle Bradley French | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2008-04-23 |
| 1497951685 | Adrienne Emel Kesinger | Internal Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2007-06-25 |
| 1679619712 | Hoang Nguyen | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2007-01-29 |
| 1710921291 | Raymond Louis Wall | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| 1235748617 | Brook Noel Leland | Family Medicine | 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 | 2020-07-30 |
| 1043835176 | Thomas Patrick Owens IIi | Family Medicine | 900 Ne 10th Street, Oklahoma City, OK 73104-5420 | 2020-06-15 |
| 1730703562 | Michael Williamson | Family Medicine | 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 | 2020-06-08 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 1881220580 | Sarah Laing | Family Medicine | 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 | 2020-03-14 |
| 1881225290 | Neans Lynn Denson | Family Medicine | 2815 Sw 119th St, Oklahoma City, OK 73170-2605 | 2020-02-04 |
| 1114563699 | Aim Health Clinics, LLC | Family Medicine | 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 | 2019-11-20 |
| 1841843265 | Stephanie N White | Family Medicine | 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 | 2019-07-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73170 |
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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.