BARRY B.K. CHAN (NPI# 1114900826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114900826 |
| Entity Type | Individual |
| Full Name | BARRY B.K. CHAN |
| Credential | MD |
| Practice Address |
200 S Herlong Ave Ste B Rock Hill SC 29732 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 8033241950 |
| Practice Fax Number | 8033241933 |
| Mailing Telephone | 7043165100 |
| Mailing Fax Number | 7043165101 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 28435 | SC | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9600879 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | N00879 | 05 | |
| NC | 8921992 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 197 Piedmont Blvd Ste 100, Rock Hill, SC 297321824 | 8033241950 | 8033241933 |
| 25 Hospital Center Blvd Ste 306, Hilton Head Island, SC 299262739 | 8436898224 | |
| 301 Hawthorne Ln Ste 200, Suite 200, Charlotte, NC 282042467 | 7043165100 | 7043165101 |
| Street Address |
200 S HERLONG AVE STE B |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194248286 | Melanie Marie Bucciarelli | Nurse Practitioner | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2017-07-20 |
| 1760899009 | Melissa Pacello | Nurse Practitioner | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2014-07-18 |
| 1417209610 | Michael Collins Hadley | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2012-10-11 |
| 1508189184 | Jennifer Graham Gainer | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2010-03-10 |
| 1164756102 | Heather Nicole Hale | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2009-09-23 |
| 1346478153 | Djeunou Tchamba | Internal Medicine | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2009-06-30 |
| 1316044266 | Michelle M Matarese | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2006-09-20 |
| 1568408623 | Peter K Zakow | Surgery | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093765398 | Catawba Piedmont Cardiothoracic Surgery LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 South Herlong Ave, Suite E1, Rock Hill, SC 29732-1587 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1255717245 | Beth Damato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9313 Medical Plaza Dr Ste 304, Charleston, SC 29406-9197 | 2015-08-03 |
| 1235533530 | Bruce Agster | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1422 Hooper St, Daniel Island, SC 29492-8481 | 2014-10-15 |
| 1447501754 | Willamsburg Regional Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Thurgood Marshall Hwy Ste G, Kingstree, SC 29556-4143 | 2012-09-26 |
| 1114216454 | Sanford Manning Zeigler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 96 Jonathan Lucas St # 295, Charleston, SC 29425-2200 | 2011-04-06 |
| 1184930992 | Lowcountry Thoracic Surgery Associates Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Hospital Dr Ste 360, Mount Pleasant, SC 29464-7776 | 2010-08-31 |
| 1629203187 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8536 Palmetto Commerce Pkwy Ste 502, Ladson, SC 29456 | 2009-05-27 |
| 1255503884 | Robert John Mccardle Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 W Main Street, Lexington, SC 29169 | 2008-03-24 |
| 1235356320 | Morris H Drucker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Leamington Lane, Hilton Head Island, SC 29928-5150 | 2007-04-19 |
| 1518024868 | Palmetto Cardiovascular and Thoracic Assoc Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9231 Medical Plaza Dr Ste D, Charleston, SC 29406-9101 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
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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.