ALLISON CULBRETH CHAN (NPI# 1841458668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841458668 |
| Entity Type | Individual |
| Full Name | ALLISON CULBRETH CHAN |
| Other Name | ALLISON LEIGH CULBRETH |
| Credential | MD |
| Practice Address |
3 Shircliff Way Ste 330 Jacksonville FL 32204-4757 |
| Practice Telephone | 9043847370 |
| Practice Fax Number | 9043847851 |
| Mailing Telephone | 9043847370 |
| Mailing Fax Number | 9043847851 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME111797 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | ME111797 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS-FL | 14J6S | 01 |
| FL | 004421900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009970 | Allison Chan | Pediatrics | 2577 Samaritan Drive, Ste 725, San Jose, CA 95124-4105 | 2006-01-31 |
| 1710509062 | Allison L Chan | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-05-09 |
| 1538421078 | Allison Chan | Emergency Medicine | 1500 Highlands Dr, Lititz, PA 17543 | 2012-06-11 |
| 1457522294 | Allison Pualani Chan | Dietitian, Registered | 642 Ulukahiki St, Kailua, HI 96734-4400 | 2008-03-20 |
| 1841386000 | Allison Chan | Psychiatry & Neurology | 1309 S Mary Ave, Suite 200, Sunnyvale, CA 94087-3050 | 2006-10-05 |
| Street Address |
3 SHIRCLIFF WAY STE 330 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
| 1720602535 | Kristen Marquardt | Nurse Practitioner | 3 Shircliff Way, Dillon Building Suite 625, Jacksonville, FL 32204 | 2020-06-08 |
| 1851713887 | Janet A Betchkal Md Pa | Ophthalmology | 3 Shircliff Way, Suite 134, Jacksonville, FL 32204-4757 | 2014-01-10 |
| 1669721155 | Amanda B Peacock | Nurse Practitioner | 3 Shircliff Way, Suite 714, Jacksonville, FL 32204-4757 | 2012-08-30 |
| 1093089716 | Jennifer Farhat Marzoug | Nurse Practitioner | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4757 | 2012-02-27 |
| 1962709311 | William Alexander Evans | Pharmacist | 3 Shircliff Way, Jacksonville, FL 32204-4757 | 2011-02-22 |
| 1881912061 | Taolin C Jen Md Pa | Clinic/Center | 3 Shircliff Way, Suite 614, Jacksonville, FL 32204-4776 | 2010-05-12 |
| 1124273529 | Sunshine Spine and Pain, Pa | Physical Medicine & Rehabilitation | 3 Shircliff Way, Suite 610, Jacksonville, FL 32204-4757 | 2008-11-26 |
| 1013161223 | Mielke Group, Inc. | Clinical Neuropsychologist | 3 Shircliff Way, Suite #333, Jacksonville, FL 32204-4757 | 2008-11-14 |
| 1215189238 | George L Mayer Md | Obstetrics & Gynecology | 3 Shircliff Way, Suite 625, Jacksonville, FL 32204-4757 | 2008-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| 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 |
|---|---|---|---|---|
| 1760004329 | Colin Craig Rowell | Internal Medicine | 4500 San Pablo Rd S Fl 32, Jacksonville, FL 32224-1865 | 2020-05-17 |
| 1457982977 | Ateeque Khan, Md P.a. | Internal Medicine | 3659 Eastbury Dr, Jacksonville, FL 32224-1659 | 2020-02-03 |
| 1013478221 | Naji Maaliki | Internal Medicine | 653-1 W 8th St Fl L184, Jacksonville, FL 32209-6511 | 2019-03-29 |
| 1770043259 | Fadi Kandah | Internal Medicine | 653-1 W 8th St # L15, Jacksonville, FL 32209-6511 | 2019-03-21 |
| 1346696002 | Alana Akers | Internal Medicine | 203 Nacogdoches St Ste 290, Jacksonville, TX 75766-2444 | 2016-05-11 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1093175770 | Alex Balmir | Internal Medicine | 655 W 8th St # Cc262, Jacksonville, FL 32209-6511 | 2016-02-24 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1316338957 | Deep Patel | Internal Medicine | 5238 Norwood Ave Ste 16, Jacksonville, FL 32208-5005 | 2015-02-17 |
| 1063801934 | Avecina Medical | Internal Medicine | 9580 Applecross Rd, 106, Jacksonville, FL 32222-5845 | 2015-01-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.