SAMUEL N. CHAN (NPI# 1528011889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528011889 |
| Entity Type | Individual |
| Full Name | SAMUEL N. CHAN |
| Credential | M.D. |
| Practice Address |
1120 15th St Augusta GA 30912-0004 |
| Mailing Address |
10000 Bay Pines Blvd Bldg. 100, 4c-100 Bay Pines FL 33744 |
| Practice Telephone | 7067212505 |
| Practice Fax Number | 7067211500 |
| Mailing Telephone | 7273986661 |
| Mailing Fax Number | 7273191276 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-09-23 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
046944 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587773 | Samuel Chan | Physical Therapist | 295 Madison Ave Rm 1801, New York, NY 10017-6404 | 2020-04-17 |
| 1841371200 | Samuel Chan | Family Medicine | 13091 Kerry St, Garden Grove, CA 92844-1638 | 2006-10-18 |
| 1508830811 | Samuel Yan-ho Chan | Specialist | 2150 W 29th Ave, Suite 600, Denver, CO 80211-3844 | 2006-02-14 |
| 1972538841 | Samuel Chan | Internal Medicine | 11110 Medical Campus Rd Ste 143, Hagerstown, MD 21742-6755 | 2006-07-11 |
| 1730142183 | Samuel C. Chan | Internal Medicine | 5787 S Hampton Rd, Suite 300, Lb 134, Dallas, TX 75232-2255 | 2006-04-07 |
| 1841253267 | Samuel S Chan | Internal Medicine | 202 Canal St, Suite 801, New York, NY 10013-4517 | 2006-04-07 |
| 1114987526 | Samuel To-hang Chan | Specialist | 6620 Coyle Ave, # 301, Carmichael, CA 95608-6333 | 2006-03-28 |
| 1265493506 | Samuel Chan | Internal Medicine | 1501 Trousdale Dr, 2nd Floor, Burlingame, CA 94010-4506 | 2006-03-28 |
| 1043286974 | Samuel Chan | Anesthesiology | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2006-02-28 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530533 | Mark Robert Keaton | Internal Medicine | 1348 Walton Way Ste 6700, Augusta, GA 30901-5111 | 2005-12-29 |
| 1346221256 | Paul Maclyn Dainer | Internal Medicine | Medical College of Ga, Section of Hem-onc,baa-5407, 1120 15th St, Augusta, GA 30912-3125 | 2005-11-08 |
| 1679925937 | Ashwins, LLC | Internal Medicine | 1120 15th St, Augusta, GA 30912 | 2016-07-11 |
| 1124461306 | Lindsey Jackson Hathaway | Internal Medicine | 361 Old Belgrade Rd, Augusta, ME 04330-8058 | 2013-04-08 |
| 1720386857 | Anu Batra | Internal Medicine | 1348 Walton Way Ste 6700, Augusta, GA 30901 | 2011-03-15 |
| 1316258148 | Rachit Kumar | Internal Medicine | 361 Old Belgrade Rd, Augusta, ME 04330-8058 | 2010-06-25 |
| 1073775722 | Jigarkumar R Parikh | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2008-06-25 |
| 1508052127 | John Edward Janik | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2007-09-18 |
| 1710182605 | Aaron W Flanders | Internal Medicine | 3696 Wheeler Rd, Augusta, GA 30909 | 2007-06-19 |
| 1881805166 | Nagla Fawzy Abdel Karim | Internal Medicine | 1120 15th St, Augusta, GA 30912 | 2007-05-25 |
| Find all providers in AUGUSTA | ||||
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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.