MRS. KATHERINE LILLIAN CHAN (NPI# 1003254012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003254012 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE LILLIAN CHAN |
| Other Name | MS. KATHERINE LILLIAN STITELY |
| Credential | MD |
| Practice Address |
798 Executive Dr Oviedo FL 32765 |
| Mailing Address |
798 Executive Dr Oviedo FL 32765-6392 |
| Practice Telephone | 4073598580 |
| Practice Fax Number | 4073598364 |
| Mailing Telephone | 4073598580 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME136423 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 076953 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35648 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W Broadway St Ste 102, Oviedo, FL 327659261 | 4073598580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435205 | Katherine Valerie Chan | Counselor | 10710 Northgate St, Culver City, CA 90230-5419 | 2020-07-24 |
| 1922652577 | Katherine Fair Chan | Clinical Neuropsychologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-07-31 |
| 1659844421 | Katherine Chan | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2019-01-04 |
| 1306368899 | Katherine Chan | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-07-17 |
| 1366976037 | Katherine Chan | Pharmacist | 2525 Via Campo, Montebello, CA 90640-1806 | 2017-04-19 |
| 1407304231 | Katherine Maya Chan | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2016-09-21 |
| 1831647270 | Katherine Chan | Pharmacist | 2500 Merced St, Outpatient Pharmacy, 1st Floor, San Leandro, CA 94577-4201 | 2016-09-14 |
| 1821384801 | Katherine Chan | Pharmacist | 6169 W Stoner Dr Ste 180, Greenfield, IN 46140-6604 | 2011-06-28 |
| 1205041274 | Katherine Hubert Chan | Urology | 300 Longwood Ave, Department of Urology, Boston, MA 02115-5724 | 2007-05-13 |
| Street Address |
798 EXECUTIVE DR |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265538466 | Chris Ellen Ogin | Family Medicine | 798 Executive Dr, Oviedo, FL 32765 | 2006-09-15 |
| 1699953521 | Seminole Sports & Family Medicine, Pa | Family Medicine | 798 Executive Dr, Oviedo, FL 32765 | 2008-02-01 |
| 1992801187 | Matthew H. Rosen | Family Medicine | 798 Executive Dr, Oviedo, FL 32765-6392 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| 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 |
|---|---|---|---|---|
| 1841812450 | Sensible Family Healthcare, LLC | Family Medicine | 2959 Alafaya Trl Ste 117, Oviedo, FL 32765-9482 | 2020-05-18 |
| 1073992962 | Justin Mahon | Family Medicine | 1000 Executive Dr Ste 9, Oviedo, FL 32765 | 2015-05-25 |
| 1821431941 | Carehere LLC | Family Medicine | 310 Alexandria Blvd, Oviedo, FL 32765-5547 | 2013-04-08 |
| 1639365893 | Andrew B Nye | Family Medicine | 5409 Deep Lake Rd, Oviedo, FL 32765-5240 | 2007-09-21 |
| 1275756421 | Randi-ann Rodrigues Do Pa | Family Medicine | 1410 W Broadway St Ste 106, Oviedo, FL 32765-6537 | 2007-04-10 |
| 1104995042 | Family Physicians of Winter Park, Inc. | Family Medicine | 1000 Executive Dr Ste 7, Oviedo, FL 32765-8140 | 2006-11-07 |
| 1265538466 | Chris Ellen Ogin | Family Medicine | 798 Executive Dr, Oviedo, FL 32765 | 2006-09-15 |
| 1518069111 | Pedro Y. Chan, R.ph., Do, Pa | Family Medicine | 101 Lake Hayes Rd, Ste 101, Oviedo, FL 32765-9097 | 2006-09-03 |
| 1124055157 | Holly Marie Lindberg | Family Medicine | 8010 Red Bug Lake Rd, Oviedo, FL 32765 | 2006-06-26 |
| 1275578726 | Daniel E Mora Rivera | Family Medicine | 8000 Red Bug Lake Road Road, Suite 280, Oviedo, FL 32765-9226 | 2006-06-18 |
| Find all providers in OVIEDO | ||||
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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.