DR. JON MICHAEL CHAN (NPI# 1053577924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053577924 |
| Entity Type | Individual |
| Full Name | DR. JON MICHAEL CHAN |
| Credential | M.D. |
| Practice Address |
Elm and Carlton Streets Buffalo NY 14263-3782 |
| Mailing Address |
65 Oakland Pl Buffalo NY 14222-2041 |
| Practice Telephone | 7168452300 |
| Mailing Telephone | 6143663687 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 293812 | NY | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 036.144383 | IL | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 35.120793 | OH | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | MT193950 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PENDING | 05 | |
| NY | NYS LICENSE | 293812 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 W 10th Ave, Columbus, OH 432101280 | 6142938074 | 6142933193 |
| 3316 Patriot Ct, Herrin, IL 629483782 | 6189930307 | 6189930807 |
| Elm and Carlton St, Buffalo, NY 142633782 | 7168452300 |
| Street Address |
ELM AND CARLTON STREETS |
| City | BUFFALO |
| State | NY |
| Zip Code | 14263-3782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667083 | Ahmed Nabil Belal | Radiology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-05-27 |
| 1215537204 | Carolyn Robinson | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-10-28 |
| 1578186862 | Alexandra Dione Huffman | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-05-21 |
| 1013538461 | Gordon Bolles | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-04-27 |
| 1396371746 | Tiffany Marie Meyers | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-03-18 |
| 1275172934 | Chereve Ferry | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-12-30 |
| 1255972386 | Rosh-neke Dezarae Thomas | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-09-30 |
| 1205486271 | Kimberly Lynn Murray | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14267-0002 | 2019-09-12 |
| 1629626098 | Danielle Wegrzyn | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-08-29 |
| 1588210827 | Katherine Mahar | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1972074797 | Roswell Park Pharmacy Corporation | Pharmacy | Elm & Carlton Sts., Buffalo, NY 14263 | 2018-12-06 |
| 1235617861 | Heather Marie Poushay | Student in an Organized Health Care Education/Training Program | 665 Elm Street Roswell Park Comprehensive Cancer Canter, Attn Michelle Rotella, Buffalo, NY 14263 | 2018-08-06 |
| 1205212594 | Neelam Sandhu | Student in an Organized Health Care Education/Training Program | Elm & Carlton Streets Oncological Surgical Pathology, Roswell Park Cancer Institute, Buffalo, NY 14263 | 2015-08-10 |
| 1629413265 | Ivan Walter Cohen | Anesthesiology | Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263 | 2013-05-09 |
| 1811243041 | Priyanka Maridhi Nanjireddy | Pediatrics | Roswell Park/oishei Children's Cancer and Blood Disorde, 685 Elm Street, Buffalo, NY 14263 | 2012-07-25 |
| 1760552699 | Mohamed Mokhtar El Sayed Desouki | Pathology | Elm & Carlton Streets, Buffalo, NY 14263 | 2006-11-08 |
| 1851948194 | Jamie Kerner | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-08-21 |
| 1851856967 | Emily Taylor Haas | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-02-02 |
| 1083134928 | Megan Elizabeth Schaefer | Physician Assistant | Elm and Carlton St, Buffalo, NY 14263 | 2017-06-21 |
| Find all providers in zip 14263 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938959 | Tony Richa | Otolaryngology | Elm and Carlton Streets Head and Neck Surgical Oncology, Buffalo, NY 14263-0001 | 2019-05-22 |
| 1801851803 | Peter A Campione | Otolaryngology | 518 Abbott Rd, Buffalo, NY 14220-1745 | 2006-04-20 |
| 1689646739 | David A Sherris | Otolaryngology | 1237 Delaware Ave, Buffalo, NY 14209-1435 | 2006-02-03 |
| 1548268410 | Robin Beth Miller | Otolaryngology | 2121 Main St Ste 221, Buffalo, NY 14214-2689 | 2005-07-13 |
| 1033686340 | Carolyn Marie Cormier | Otolaryngology | 1083 Delaware Ave, Buffalo, NY 14209-1674 | 2018-10-25 |
| 1790263549 | Laila Al Masaoudi | Otolaryngology | 665 Elm St, Buffalo, NY 14203-1104 | 2018-08-03 |
| 1427324417 | Ryan Patrick Mcspadden | Otolaryngology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2012-03-24 |
| 1154650935 | Kien Thuan Le | Otolaryngology | 100 High St, Buffalo, NY 14203-1126 | 2009-12-08 |
| 1992902589 | Hassan Arshad | Otolaryngology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2007-06-28 |
| 1447320593 | University At Buffalo Otolaryngology, Inc. | Otolaryngology | 1237 Delaware Ave, Buffalo, NY 14209-1435 | 2006-11-08 |
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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.