MEREDITH CHAN (NPI# 1578907820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578907820 |
| Entity Type | Individual |
| Full Name | MEREDITH CHAN |
| Credential | MD |
| Practice Address |
14101 Fairview Dr Burnsville MN 55337 |
| Mailing Address |
14101 Fairview Dr Burnsville MN 55337-4590 |
| Practice Telephone | 9529933282 |
| Mailing Telephone | 9529933282 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 66027 | MN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 290063 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 391 Myrtle Ave Ste 200, Albany, NY 122083835 | (518) 262-4942 | 5182625291 |
| 47 New Scotland Ave, Department of Obstetrics and Gynecology, Albany, NY 122083412 | 5182623125 |
| Street Address |
14101 FAIRVIEW DR |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326026113 | Asa B Kim | Orthopaedic Surgery | 14101 Fairview Dr, Ste 300, Burnsville, MN 55337-4590 | 2006-01-03 |
| 1942723713 | Katherine Braaten | Pain Medicine | 14101 Fairview Dr, Burnsville, MN 55337-4590 | 2017-07-24 |
| 1841655305 | Jeffrey Fort | Specialist/Technologist | 14101 Fairview Dr, Suit3 300, Burnsville, MN 55337-4590 | 2015-12-28 |
| 1003289257 | Fairview Pharmacy Services LLC | Pharmacy | 14101 Fairview Dr, Suite 100, Burnsville, MN 55337-4590 | 2015-11-10 |
| 1700258688 | Fairview Express Care | Family Medicine | 14101 Fairview Dr, Suite 300, Burnsville, MN 55337-4590 | 2015-10-30 |
| 1457735797 | Lang Mitchell Dac Ho | Physical Therapist | 14101 Fairview Dr, Suite 300, Burnsville, MN 55337-4590 | 2015-07-16 |
| 1013391820 | Urology Associates, Ltd. | Urology | 14101 Fairview Dr, Suite 280, Burnsville, MN 55337-4590 | 2015-07-13 |
| 1174906382 | Eric Frank Stokes | Physical Therapist | 14101 Fairview Dr, Suite 300, Burnsville, MN 55337-4590 | 2015-07-07 |
| 1164842456 | Salma Shaker | Obstetrics & Gynecology | 14101 Fairview Dr, Burnsville, MN 55337-4590 | 2014-04-24 |
| 1124468046 | Lauren Elizabeth Gutshall | Physical Therapist | 14101 Fairview Dr, #300, Burnsville, MN 55337-4590 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982612479 | Barbara Sue Vaneeckhout | Obstetrics & Gynecology | 14101 Fairview Dr Ste 420, Burnsville, MN 55337 | 2006-08-03 |
| 1265498331 | Allan R Hartsough | Obstetrics & Gynecology | 303 Nicollet Boulevard, Burnsville, MN 55337 | 2006-04-26 |
| 1629486337 | Alma Aurioles Bagan | Obstetrics & Gynecology | 14101 Fairview Dr Ste 420, Burnsville, MN 55337 | 2014-07-25 |
| 1164842456 | Salma Shaker | Obstetrics & Gynecology | 14101 Fairview Dr, Burnsville, MN 55337-4590 | 2014-04-24 |
| 1104246800 | Emily Barbara O'neil | Obstetrics & Gynecology | 14101 Fairview Dr Ste 420, Burnsville, MN 55337-2539 | 2014-04-21 |
| 1447513072 | Danielle Schirm | Obstetrics & Gynecology | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2012-06-19 |
| 1780959148 | Ashley Maria Hieronimus | Obstetrics & Gynecology | 14101 Fairview Dr Ste 420, Burnsville, MN 55337-2539 | 2012-03-19 |
| 1952612525 | Jennifer Mary Schlies | Obstetrics & Gynecology | 14101 Fairview Dr Ste 420, Burnsville, MN 55337-2539 | 2010-06-29 |
| 1316258049 | Jennifer Schmitt | Obstetrics & Gynecology | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2010-06-28 |
| 1962660480 | Neerajana Gupta | Obstetrics & Gynecology | 14101 Fairview Dr, Burnsville, MN 55337-4590 | 2008-05-30 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.