PAUL TAI-LEUNG CHAN (NPI# 1144269994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144269994 |
| Entity Type | Individual |
| Full Name | PAUL TAI-LEUNG CHAN |
| Credential | DO |
| Practice Address |
6245 Sheridan Dr Suite 212 Williamsville NY 14221-4834 |
| Practice Telephone | 7162044500 |
| Practice Fax Number | 7162044501 |
| Mailing Telephone | 7162044500 |
| Mailing Fax Number | 7162044501 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 1161 | TN | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
D01194 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4222368 | 01 |
| TN | 1510963 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073602983 | Paul Jimmy Chan | Dentist | 15534 Gale Ave, Hacienda Heights, CA 91745-1513 | 2006-10-11 |
| 1407869993 | Paul K Chan | Family Medicine | 13347 Sanford Ave Apt 5b, Flushing, NY 11355-5813 | 2006-08-14 |
| 1154326783 | Paul H Chan | Internal Medicine | 1800 Fairview Ave, Suite 2, Dothan, AL 36301-3058 | 2005-06-20 |
| 1417481995 | Paul Chan | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2017-04-12 |
| 1144548082 | Paul Chan Jr. | Pharmacist | 2819 Hopyard Rd, Pleasanton, CA 94588-5241 | 2010-05-16 |
| 1881770519 | Paul S Chan | Internal Medicine | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 2006-10-27 |
| 1821183179 | Paul Jk Chan | Family Medicine | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2006-10-04 |
| 1952344095 | Paul W H Chan | Pediatrics | 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 | 2006-06-14 |
| 1386630879 | Paul C Chan | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2005-09-21 |
| Street Address |
6245 SHERIDAN DR SUITE 212 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496240 | Mary Ellen Rubin | Psychologist | 6245 Sheridan Dr, Suite 218, Williamsville, NY 14221-4834 | 2005-09-01 |
| 1174979306 | Ciambella Home Care, Inc. | Home Health | 6245 Sheridan Dr, Suite 114, Williamsville, NY 14221-4834 | 2016-05-06 |
| 1316343460 | Erik Kastner | Physical Therapist | 6245 Sheridan Dr, Suite 112, Williamsville, NY 14221-4834 | 2014-11-17 |
| 1013317379 | Ryan Smith | Physical Therapist | 6245 Sheridan Dr, 112, Williamsville, NY 14221-4834 | 2014-08-23 |
| 1922423151 | Advanced Pain & Wellness Institute, LLP | Clinical Medical Laboratory | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2014-02-25 |
| 1851689178 | Jennifer D Mckeel-aranyosi | Specialist | 6245 Sheridan Dr, Ste 112, Williamsville, NY 14221-4834 | 2011-07-20 |
| 1689961054 | Rachel M. Brown | Physician Assistant | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2011-07-06 |
| 1710285200 | Robert T Detamble | Massage Therapist | 6245 Sheridan Dr, Suite116, Williamsville, NY 14221-4834 | 2011-03-07 |
| 1487963120 | Vikas K Pilly Md PC | Physical Medicine & Rehabilitation | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2010-09-29 |
| 1780852780 | Romanth Waghmarae Mb., Bch., PC | Specialist | 6245 Sheridan Dr, Suite 116, Williamsville, NY 14221-4834 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528013059 | Mushtaq Hussain Khan | Emergency Medicine | 61-laurel Lane, Williamsville, NY 14221 | 2006-05-23 |
| 1184841306 | Kathryn L Gutillo | Emergency Medicine | 6653 Main St, Williamsville, NY 14221-5906 | 2007-04-19 |
| 1619916236 | Douglas G Bushell | Emergency Medicine | 6245 Sheridan Dr, Suite 212, Williamsville, NY 14221-4834 | 2006-06-06 |
| 1568401396 | Arthur Alexander Levy | Emergency Medicine | 6245 Sheridan Dr, Suite 212, Williamsville, NY 14221-4834 | 2006-06-06 |
| 1912946443 | William John Lipuma Jr. | Emergency Medicine | 6245 Sheridan Dr, Suite 212, Williamsville, NY 14221-4834 | 2006-06-06 |
| 1497794770 | Paul H Reyes | Emergency Medicine | 6245 Sheridan Dr, Suite 212, Williamsville, NY 14221-4834 | 2006-06-05 |
| 1407895691 | Robert L Mitchell | Emergency Medicine | 6245 Sheridan Dr, Suite 212, Williamsville, NY 14221-4834 | 2006-06-05 |
| 1205882636 | Brian Eric Lucas | Emergency Medicine | 6245 Sheridan Dr, Suite 212, Williamsville, NY 14221-4834 | 2006-05-26 |
| 1023063005 | Daniel Q Cofie | Emergency Medicine | 6245 Sheridan Dr, Suite 212, Williamsville, NY 14221-4834 | 2006-05-24 |
| 1427002302 | Steven A Lakomy | Emergency Medicine | 6653 Main St, Williamsville, NY 14221-5906 | 2006-05-22 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.