KENNETH L FAN (NPI# 1144586355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144586355 |
| Entity Type | Individual |
| Full Name | KENNETH L FAN |
| Credential | M.D. |
| Practice Address |
3800 Reservoir Rd Nw Department of Plastic Surgery Washington DC 20007 |
| Mailing Address |
3800 Reservoir Rd Nw Department of Plastic Surgery Washington DC 20007-2113 |
| Practice Telephone | 2024441233 |
| Mailing Telephone | 2024441233 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD045855 | DC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588986566 | Kenneth Fan | Dentist | 3d Den Bn 3mlg, Unit 38450, Fpo, AP 96373-8450 | 2010-02-18 |
| 1780032839 | Kenneth Chen Fan | Internal Medicine | 900 Nw 17th St, Miami, FL 33136-1119 | 2016-05-31 |
| 1801206750 | Kenneth Fan | Obstetrics & Gynecology | 219 Bryant St, University At Buffalo Department of Ob/gyn, Buffalo, NY 14222 | 2014-04-30 |
| Street Address |
3800 RESERVOIR RD NW DEPARTMENT OF PLASTIC SURGERY |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748802 | John Hugh Lynch | Urology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-05-31 |
| 1346841087 | Shahrzad Chitsaz | Pharmacist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-11-07 |
| 1891392296 | Morgan M Casimir | Occupational Therapist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-10-08 |
| 1922615764 | Kelly Trump | Nurse Practitioner | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-25 |
| 1790392819 | La Sheron A Bankhead | Speech-Language Pathologist | 3800 Reservoir Rd Nw, Bles Building, Ground Floor, Room Cg-12, Washington, DC 20007 | 2020-09-24 |
| 1689289688 | Laurie L Nguyen | Registered Nurse | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-15 |
| 1598370652 | Yazan Subhi Juma' | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1326653668 | Allison Elizabeth Boyd | Physician Assistant | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1497370167 | Kirby K Edsill | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023672987 | Pearl Ann Theresa Brown | Plastic Surgery | 21 7th St Se, Washington, DC 20003-1221 | 2019-04-26 |
| 1053610832 | Laura Kate Tom | Plastic Surgery | 106 Irving St Nw Ste 3400, Washington, DC 20010 | 2011-03-20 |
| 1760705594 | Craig Davis | Plastic Surgery | 3163 N Grasslands Pkwy, Washington, UT 84780-2097 | 2010-03-08 |
| 1487801627 | Grant Michael Kleiber | Plastic Surgery | 3800 Reservoir Rd Nw # Phc1, Washington, DC 20007-2113 | 2008-08-19 |
| 1265616007 | Kelly Michelle Bolden | Plastic Surgery | 5301 Wisconsin Ave Nw Ste 100, Washington, DC 20015-2070 | 2007-12-27 |
| 1609908334 | Anita R Kulkarni | Plastic Surgery | 2440 M St Nw Ste 318, Washington, DC 20037 | 2007-03-09 |
| 1194750224 | Mary Ella M Carter | Plastic Surgery | Veterans Affairs Hospital 50 Irving Street, Plastic Surgery, Washington, DC 20422-0001 | 2006-07-11 |
| 1386640118 | Henry Paul Jr. | Plastic Surgery | 2041 Georgia Avenue Nw Dept of Surgery, Washington, DC 20060-3322 | 2005-06-27 |
| 1265435804 | Teresa Marie Buescher | Plastic Surgery | 2300 M St Nw, 6th Floor, Washington, DC 20037-1434 | 2005-05-27 |
| 1265082564 | Catherine M Hannan, Md, Pllc | Plastic Surgery | 2440 M St Nw Ste 200, Washington, DC 20037-1449 | 2019-09-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
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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.