PAUL C CHAN (NPI# 1386630879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386630879 |
Entity Type | Individual |
Full Name | PAUL C CHAN |
Credential | MD |
Practice Address |
5005 S Cooper St Ste 250 Arlington TX 76017-5996 |
Mailing Address |
5001 S Cooper St Ste 201 Arlington TX 76017-5993 |
Practice Telephone | 8663678768 |
Practice Fax Number | 8175419540 |
Mailing Telephone | 8663678768 |
Mailing Fax Number | 8175419555 |
Enumeration Date | 2005-09-21 |
Last Update Date | 2019-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | K8059 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICAID OTHER | 116357805 | 01 |
TX | 116357801 | 05 | |
TX | 116357806 | 05 | |
TX | 116357803 | 05 | |
TX | 116357804 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
515 W Mayfield Rd, Arlington, TX 76014 | 8174667277 | 8174667280 |
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 |
1144269994 | Paul Tai-leung Chan | Emergency Medicine | 6245 Sheridan Dr, Suite 212, Williamsville, NY 14221-4834 | 2006-06-06 |
Street Address |
5005 S COOPER ST STE 250 |
City | ARLINGTON |
State | TX |
Zip Code | 76017-5996 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285629881 | Harrison M Abrahams | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2005-09-20 |
1528537180 | Urology Partners of North Texas, Pllc | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2018-11-13 |
1992165047 | Laura Davis | Specialist/Technologist, Other | 5005 S Cooper St Ste 250, Arlington, TX 76017 | 2016-03-02 |
1730452012 | Amanda D White | Physician Assistant | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2012-02-16 |
1659575447 | Geoffrey Robert Nuss | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2007-06-13 |
1194948356 | Tony Mammen | Specialist | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2007-04-10 |
1093854028 | Keith Rohan Xavier | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017 | 2007-02-06 |
1982753158 | Richard Hugh Bevan-thomas | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2007-01-09 |
1730145780 | William Troy Houston | Physician Assistant | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2006-04-26 |
1942297569 | Tracy L Cannon-smith | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017 | 2005-09-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
Find all providers in zip 76017 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568099737 | Kelly Lindert | Urology | 68 Chester St, Arlington, MA 02476-7607 | 2020-03-26 |
1043546625 | Emile Anthony Allen | Urology | 4301 Columbia Pike, #125, Arlington, VA 22204-3054 | 2009-11-02 |
1003996380 | Andrew C Sambell | Urology | 801 W Interstate 20 Ste 1, Arlington, TX 76017-5851 | 2006-10-17 |
1376596353 | Shree Subhash | Urology | 1635 N George Mason Dr Ste 130, Arlington, VA 22205-3680 | 2006-05-18 |
1730166893 | David L Shepherd | Urology | 801 W I 20 Ste 1, Arlington, TX 76017-5851 | 2005-12-29 |
1255327383 | Mark Alan Mccurdy | Urology | 811 W Interstate 20 Ste 114, Arlington, TX 76017 | 2005-09-23 |
1942296330 | John M House | Urology | 801 W I-20, Ste 1, Arlington, TX 76017-5851 | 2005-09-21 |
1285629881 | Harrison M Abrahams | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2005-09-20 |
1992704340 | Andrew B. Joel | Urology | 1625 North George Mason Drive, Suite 415, Arlington, VA 22205 | 2005-07-19 |
1528537180 | Urology Partners of North Texas, Pllc | Urology | 5005 S Cooper St Ste 250, Arlington, TX 76017-5996 | 2018-11-13 |
Find all providers in ARLINGTON |
Please comment or provide details below to improve the information on PAUL C CHAN.
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.