DR. EDWARD FUNG CHAN (NPI# 1417940941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417940941 |
Entity Type | Individual |
Full Name | DR. EDWARD FUNG CHAN |
Credential | MD |
Practice Address |
101 Chesley Dr Suite 100 Media PA 19063-1761 |
Practice Telephone | 6105667111 |
Practice Fax Number | 6108916735 |
Mailing Telephone | 6105667111 |
Mailing Fax Number | 6108916735 |
Enumeration Date | 2005-08-30 |
Last Update Date | 2011-04-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD069710L | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104214469 | Edward Wai-kin Chan | Chiropractor | 919 S Soto St Ste 2, Los Angeles, CA 90023-1303 | 2015-01-08 |
1366425548 | Edward I. Chan | Family Medicine | 2433 Central Ave, Ste A, Alameda, CA 94501-6562 | 2005-11-22 |
1730705757 | Edward Chan | Social Worker | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2020-06-25 |
1871888909 | Edward Shei-ahu Chan | Orthopaedic Surgery | 707 S Garfield Ave Fl 2, Alhambra, CA 91801-5859 | 2011-06-16 |
1831357292 | Edward Chan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6550 Fannin St, Suite 1601, Houston, TX 77030-2717 | 2008-06-01 |
1114101938 | Edward Yap Chan | Dentist | 991 Montague Expy, Suite 106, Milpitas, CA 95035-6809 | 2007-12-28 |
1952503476 | Edward Vte Chan | Obstetrics & Gynecology | 128 Mott St Ste 501, 128 Mott Street, Suite 501, New York, NY 10013-5575 | 2007-06-05 |
1932296928 | Edward Kaiwah Chan | Ophthalmology | 7737 Southwest Fwy, Suite 850, Houston, TX 77074-1807 | 2006-10-10 |
1417053224 | Edward T Chan | Orthopaedic Surgery | 1396 Piccard Dr, Rockville, MD 20850-4302 | 2006-09-16 |
1730295197 | Edward D Chan | Internal Medicine | 1055 Clermont St, Denver, CO 80220-3808 | 2006-08-21 |
Street Address |
101 CHESLEY DR SUITE 100 |
City | MEDIA |
State | PA |
Zip Code | 19063-1761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134127848 | John Joseph Laskas | Dermatology | 101 Chesley Dr, Suite 100, Media, PA 19063-1761 | 2005-07-07 |
1508153545 | Trisha Sujaya Dasgupta | Dermatology | 101 Chesley Dr, Dermatology, Ltd., Media, PA 19063-1761 | 2011-06-28 |
1477791929 | Center for Dermatopathology, P.C. | Clinical Medical Laboratory | 101 Chesley Dr, Suite 201, Media, PA 19063-1761 | 2009-01-21 |
1659538148 | Joseph William Laskas | Dermatology | 101 Chesley Dr, Media, PA 19063-1761 | 2008-05-21 |
1619163706 | Aesthetic Facial Plastic Surgery Center, Inc. | Plastic Surgery | 101 Chesley Dr, Georgtown Building, Media, PA 19063-1761 | 2007-09-21 |
1093922536 | Karen Pearce Riggs | Dermatology | 101 Chesley Dr, Suite Number 740, Media, PA 19063-1761 | 2007-05-16 |
1588746937 | Megan Leigh Bovero | Physician Assistant | 101 Chesley Dr, Media, PA 19063-1761 | 2006-10-19 |
1568417467 | Leonard Dzubow Md PC | Dermatology | 101 Chesley Dr, Media, PA 19063-1761 | 2006-05-23 |
1477508257 | Dermatology Ltd | Dermatology | 101 Chesley Dr, Suite 100, Media, PA 19063-1761 | 2006-05-23 |
1700848082 | Nancy Slater Woolf | Psychiatry & Neurology | 101 Chesley Dr, Suite 201, Media, PA 19063-1761 | 2006-04-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
Find all providers in zip 19063 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164684767 | Susan D Gisser | Dermatology | 515 Redleaf Rd, Wynnewood, PA 19096-1625 | 2008-06-26 |
1205851888 | John T Seykora | Dermatology | 421 Curie Blvd, 1011 Brb, Philadelphia, PA 19104-4863 | 2006-07-13 |
1790722981 | Debra Jih | Dermatology | 822 Pine St Ste 2a, Philadelphia, PA 19107-6187 | 2006-05-31 |
1013965011 | Marisa Frances Baldassano | Dermatology | 828 Creekview Dr, Blue Bell, PA 19422-2729 | 2006-05-04 |
1174585418 | Ethel Marsha Ziselman | Dermatology | 2 Castlebar Ln, Malvern, PA 19355 | 2006-04-03 |
1336141373 | Thomas D Griffin | Dermatology | 3805 W Chester Pike, Newtown Square, PA 19073-2329 | 2005-08-10 |
1265431043 | Stacey E. Englander-turner | Dermatology | 940 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3845 | 2005-07-14 |
1508865304 | Christine S Stanko | Dermatology | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2005-07-14 |
1154329035 | Nancy S House | Dermatology | 419 Walnut St, Sewickley, PA 15143-1535 | 2005-07-13 |
1629610936 | St Luke's Physician Group, Inc | Dermatology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-10-09 |
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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.