KERWIN T CHAN (NPI# 1639367865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639367865 |
| Entity Type | Individual |
| Full Name | KERWIN T CHAN |
| Credential | MD |
| Practice Address |
45 10th St W Ste A Saint Paul MN 55102-1062 |
| Mailing Address |
45 10th St W Saint Paul MN 55102-1062 |
| Practice Telephone | 6512323000 |
| Mailing Telephone | 6512323000 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 64525 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036.125324 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 57-013026 | OH | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036125324 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036125324 | 01 |
| MN | STATE LICENSE | 64525 | 01 |
| Street Address |
45 10TH ST W STE A |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174939706 | Bjorn Bakken | Internal Medicine | 1021 Bandana Blvd E Ste 250, Saint Paul, MN 55108-5113 | 2014-07-03 |
| 1679997936 | Keith Eugene Folkert | Internal Medicine | 2122 Highland Pkwy, Saint Paul, MN 55116-1313 | 2014-02-06 |
| 1255607321 | Louis A Sagert | Internal Medicine | 497 Curfew St, Saint Paul, MN 55104-4912 | 2012-03-22 |
| 1912137944 | Dominic Rossini | Internal Medicine | 116 W Pleasant Lake Rd, Saint Paul, MN 55127-2621 | 2009-07-24 |
| 1861696056 | Emily Ruth Conover Downing | Internal Medicine | 1055 Westgate Drive, Suite 100, Allina Home and Community Services, Saint Paul, MN 55114 | 2007-06-12 |
| 1750304580 | Bobby Khue Yang | Internal Medicine | 1047 University Ave W Ste 101, Saint Paul, MN 55104-4751 | 2006-07-25 |
| 1093746000 | Salima Mithani | Internal Medicine | 2005 Ford Pkwy, Saint Paul, MN 55116-1932 | 2006-07-06 |
| 1609803766 | Peter Cermak | Internal Medicine | Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 | 2006-06-26 |
| 1619903093 | Shannon Canas | Internal Medicine | 1000 Westgate Dr, Suite 149, Saint Paul, MN 55114-8612 | 2006-06-25 |
| 1598722464 | John F Rotilie | Internal Medicine | 2300 Saint Clair Ave, Saint Paul, MN 55105-1137 | 2006-04-26 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.