WAYNE FAI CHAN (NPI# 1043233810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043233810 |
| Entity Type | Individual |
| Full Name | WAYNE FAI CHAN |
| Credential | MD |
| Practice Address |
1500 E Woodrow Wilson Ave Radiation Therapy Jackson MS 39216-5116 |
| Mailing Address |
51 Northtown Dr 19e Jackson MS 39211-3600 |
| Practice Telephone | 6013624471 |
| Practice Fax Number | 6013641588 |
| Mailing Telephone | 6103624471 |
| Mailing Fax Number | 6013641588 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
18104 | MS | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A60276 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326348483 | Wayne Chan | Pharmacist | 5760 Cottle Rd, San Jose, CA 95123-3624 | 2010-10-22 |
| 1255323473 | Wayne Ken Chan | Optometrist | 229 Berkeley St, Boston, MA 02116-3724 | 2005-08-16 |
| 1659900546 | Wayne Elroy Chan | Nurse Practitioner | 504 State St, Schenectady, NY 12305-2414 | 2020-04-03 |
| 1013275114 | Wayne Wayfu Chan | Orthopaedic Surgery | 119 Belmont St, Worcester, MA 01605-2903 | 2012-04-25 |
| 1669612727 | Wayne Chan | Psychologist | 420 Thomaston St, Zebulon, GA 30295-3387 | 2009-03-03 |
| 1053447383 | Wayne Weiching Chan | Marriage & Family Therapist | 27401 Los Altos, Suite 275, Mission Viejo, CA 92691-6316 | 2007-02-23 |
| Street Address |
1500 E WOODROW WILSON AVE RADIATION THERAPY |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740264035 | Sadeka Tamanna | Internal Medicine | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2005-12-01 |
| 1881291383 | Regina Marie Riley | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-10-07 |
| 1811502024 | Wendy Hopkins | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-09-14 |
| 1528679420 | Christopher Michael Mcguffey | Physical Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-08-13 |
| 1124637319 | Kathryn Martin Lewis | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-24 |
| 1932727468 | Davis Mckenna Simms | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-10 |
| 1154948222 | Tiffany Floyd | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-06 |
| 1962029389 | Devonda Y Elliott | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-01 |
| 1629693759 | Latorya Lashay Smith | Dietitian, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-06-15 |
| 1932721669 | Aubrey Cain Young | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174613830 | Vicksburg Oncology Associates LLC | Radiology | 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640 | 2006-10-13 |
| 1841224433 | Regents of The University of Michigan | Radiology | 1102 East Michigan Ave, Jackson, MI 49201-0010 | 2006-07-10 |
| 1023072485 | Paul D Koerner | Radiology | 322 Hosp Blvd, Cancer Care Center of Jackson, Jackson, TN 38305 | 2006-04-13 |
| 1184607210 | Srinivasan Vijayakumar | Radiology | 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 | 2005-11-22 |
| 1013919216 | Richard B Friedman | Radiology | 1225 N State St, Jackson, MS 39202-2064 | 2005-06-01 |
| 1518969724 | Steven E Zachow | Radiology | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2005-06-01 |
| 1497757603 | Sidney A Johnson Jr. | Radiology | 2969 Curran Dr N, Jackson, MS 39216-4121 | 2005-06-01 |
| 1144883620 | W A Foote Memorial Hospital Inc | Radiology | 205 N East Ave, Jackson, MI 49201-1753 | 2019-04-19 |
| 1124584800 | Teessa Perekattu Kuruvilla | Radiology | Department of Radiation Oncology, 350 Woodrow Wilson Dr, Jackson, MS 39216-4505 | 2019-02-18 |
| 1194245472 | W. A. Foote Memorial Hospital, Inc | Radiology | 205 N East Ave, Jackson, MI 49201-1753 | 2017-06-27 |
| Find all providers in JACKSON | ||||
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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.