KEVIN YIN SHUN CHAN (NPI# 1528014248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528014248 |
| Entity Type | Individual |
| Full Name | KEVIN YIN SHUN CHAN |
| Other Name | KEVIN Y CHAN |
| Credential | DO |
| Practice Address |
4545 E Chandler Blvd Suite 304 Phoenix AZ 85048-7643 |
| Mailing Address |
12010 S Warner Elliot Loop Ste 1 Phoenix AZ 85044-2731 |
| Practice Telephone | 4809612366 |
| Practice Fax Number | 4809612367 |
| Mailing Telephone | 4809612366 |
| Mailing Fax Number | 4809612367 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4101 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144349 | Kevin She-wai Chan | Student in an Organized Health Care Education/Training Program | 1501 Catch Fly Ln, Durham, NC 27713-2556 | 2020-04-29 |
| 1831640226 | Kevin Chan | Physical Therapist | 8030 Alpaca St, Rosemead, CA 91770-3989 | 2016-10-20 |
| 1225461981 | Kevin Chan | Optometrist | 8100 Boone Blvd Ste 150, Tysons Corner, VA 22182-2629 | 2013-08-16 |
| 1437330081 | Kevin E Chan | Internal Medicine | Mgh/renal Associates, 55 Fruit St, Bigelow 10 Ste 1003, Boston, MA 02114 | 2007-11-23 |
| 1790818177 | Kevin W Chan | Psychiatry & Neurology | 9300 Tech Center Dr Ste 210, Sacramento, CA 95826-2589 | 2007-03-14 |
| 1104857945 | Kevin Chan | Chiropractor | 3033 E Florence Ave, Huntington Park, CA 90255-5837 | 2006-07-06 |
| 1689202590 | Kevin Chan | Student in an Organized Health Care Education/Training Program | Weill Cornell Internal Medicine Associates, 505 East 70th Street, New York, NY 10021 | 2020-03-28 |
| 1023505591 | Kevin Jan Chan | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2018-04-19 |
| 1285176404 | Kevin Chan | Pharmacist | 425 Main St, Roosevelt Island, NY 10044-0238 | 2016-11-07 |
| 1619363017 | Kevin Chiayu Chan | Hospitalist | 725 American Ave, Waukesha, WI 53188-5031 | 2015-04-13 |
| Street Address |
4545 E CHANDLER BLVD SUITE 304 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-7643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324051 | Stanley A Gering | Specialist | 4545 E Chandler Blvd, Ste 204, Phoenix, AZ 85048-7646 | 2005-05-24 |
| 1073855409 | Danny Edward Mcclure | Psychiatry & Neurology | 4545 E Chandler Blvd, Phoenix, AZ 85048-7643 | 2013-03-24 |
| 1750678355 | Kyrene Internal Medicine Pllc | Internal Medicine | 4545 E Chandler Blvd, Suite 201, Phoenix, AZ 85048-7643 | 2011-07-01 |
| 1043541089 | Melissa Ann Duchscherer | Pharmacist | 4545 E Chandler Blvd, Suite 100, Phoenix, AZ 85048-7643 | 2010-01-14 |
| 1750521225 | Lorraine Kempton | Registered Nurse | 4545 E Chandler Blvd, Ste 305, Phoenix, AZ 85048-7643 | 2009-02-24 |
| 1225282882 | David J. Crockett | Otolaryngology | 4545 E Chandler Blvd, Suite 202, Phoenix, AZ 85048-7645 | 2008-11-10 |
| 1083890685 | Rem Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4545 E Chandler Blvd, Ste 202, Phoenix, AZ 85048-7643 | 2008-01-14 |
| 1962699512 | Ahwatukee Dermatology LLC | Physician Assistant | 4545 E Chandler Blvd, Suite 305, Phoenix, AZ 85048-7643 | 2007-09-27 |
| 1932390754 | Brenda M Vogl,llc | Nurse Practitioner | 4545 E Chandler Blvd, Suite 305, Phoenix, AZ 85048-7643 | 2007-08-06 |
| 1043434897 | Kyrene Medical Center PC | Internal Medicine | 4545 E Chandler Blvd, Suite 201, Phoenix, AZ 85048-7643 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| Find all providers in PHOENIX | ||||
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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.