Brandon W. Chan (NPI# 1215957485, PAC ID# 2163412610) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1215957485 |
PAC ID by PECOS | 2163412610 |
Professional Enrollment ID | I20051212000104 |
Full Name | Brandon W. Chan |
Organization Legal Name | WISHON RADIOLOGICAL MEDICAL GROUP INC |
Address |
126 Marlboro Dr Mc Murray PA 15317-3651 |
Phone Number | 4432532719 |
Gender | M |
Credential | MD |
Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1993 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 8022065036 |
Number of Group Practice Members | 36 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050093 | SAINT AGNES MEDICAL CENTER |
330103 | OLEAN GENERAL HOSPITAL |
330197 | CANTON-POTSDAM HOSPITAL |
200050 | MAINE COAST MEMORIAL HOSPITAL |
330115 | ONEIDA HEALTHCARE CENTER |
Address | Phone | Organization |
---|---|---|
116 Interstate Pkwy, Bradford, PA 16701-1036 | 8143684183 | REGIONAL RADIOLOGY ASSOCIATES, PC |
134 Homer Ave, Cortland, NY 13045-1206 | 6077563522 | CORTLAND MEMORIAL RADIOLOGY PC |
50 Union St, Ellsworth, ME 04605-1534 | 2076645311 | MARITIME RADIOLOGY ASSOCIATES PC |
126 Marlboro Dr, Mc Murray, PA 15317-3651 | 4432532719 | WISHON RADIOLOGICAL MEDICAL GROUP INC |
515 Main St, Olean, NY 14760-1513 | 7163763166 | OLEAN RADIOLOGY PC |
50 Leroy St, Potsdam, NY 13676-1786 | 3152653300 | ST LAWRENCE RADIOLOGY ASSOC PC |
Organization Legal Name | WISHON RADIOLOGICAL MEDICAL GROUP INC |
Physicians | 24 |
Name | Specialty | Organization | Address |
---|---|---|---|
Roberta K Yang | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 5765 N Fresno St, Suite 105, Fresno, CA 93710-6092 |
Lin Hsu Bailey | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
Terril A Efird | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
Benjamin Pruett | Interventional Radiology | Wishon Radiological Medical Group Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
Robert Raines-hepple | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
Trevor Davis | Interventional Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
Larry Jess Destjeor | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
Tyler George Gasser | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
Sampath Kumar Alapati | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
Michael R Myracle | Diagnostic Radiology | Wishon Radiological Medical Group Inc | 9300 Valley Childrens Pl, Madera, CA 93636-8761 |
Street Address |
126 MARLBORO DR |
City | MC MURRAY |
State | PA |
Zip | 15317-3651 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Jon Smith | Chiropractic | 26 N Central Ave, Canonsburg, PA 15317-1302 | |
Jessica L Davis | Nurse Practitioner | Office Based Anesthesia Solutions Inc | 160 W Pike St, Canonsburg, PA 15317-1328 |
Ashok Kumar | Internal Medicine | 2215 Hill Church Houston Rd, Suite 3, Canonsburg, PA 15317-1470 | |
Ashley Mowl | Optometry | 950 S Central Ave, Suite 1, Canonsburg, PA 15317-1489 | |
Dale L Deconcilis | Optometry | Deconcilis Eye and Vision Center, PC | 950 S Central Ave, Suite 1, Canonsburg, PA 15317-1489 |
Charles W Weldy | Podiatry | Canonsburg Podiatry Associates | 111 S Central Ave, Canonsburg, PA 15317-1551 |
Kathryn O Weldy | Podiatry | Canonsburg Podiatry Associates | 111 S Central Ave, Canonsburg, PA 15317-1551 |
Courtney Diana Bond | Chiropractic | Bond Chiropractic Health Center | 1 S Jefferson Ave, Canonsburg, PA 15317-1555 |
Arthur R Bond | Chiropractic | Bond Chiropractic Health Center | 1 S Jefferson Ave, Canonsburg, PA 15317-1555 |
Tatyana Goldman | Neurology | 300 Barr St, Canonsburg, PA 15317-1558 | |
Find all physicians in zip 15317 |
City | MC MURRAY |
Zip Code | 15317 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | MC MURRAY + DIAGNOSTIC RADIOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.