CAMILLE C CHAN (NPI# 1154873545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154873545 |
| Entity Type | Individual |
| Full Name | CAMILLE C CHAN |
| Credential | D.O. |
| Practice Address |
1150 E Matthews Ave Ste 101 Jonesboro AR 72401-4356 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709368000 |
| Practice Fax Number | 8709343663 |
| Mailing Telephone | 8709368000 |
| Mailing Fax Number | 8709343663 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | E-11422 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184913774 | Camille K. Chan | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2011-04-04 |
| Street Address |
1150 E MATTHEWS AVE STE 101 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306083324 | Shivashanker PC | Pediatrics | 7695 Highpoint Dr, Jonesboro, GA 30236 | 2009-01-13 |
| 1962583013 | Marvin Lowery Beck | Pediatrics | 3203 Methodist Drive, Jonesboro, AR 72403-9069 | 2006-10-17 |
| 1962469254 | Jane M Sneed | Pediatrics | 800 S Church St Ste 400, Jonesboro, AR 72401-4112 | 2006-04-28 |
| 1003881848 | Vye Branch Watson | Pediatrics | 2707 Browns Lane, Jonesboro, AR 72401 | 2006-02-22 |
| 1689665895 | Jocelyn Daisy Collins | Pediatrics | 2400 Mt Zion Parkway, Southwood Medical Center Department of After Hours, Jonesboro, GA 30236 | 2005-11-04 |
| 1134121635 | Pediatric Associates of Jonesboro, Pllc | Pediatrics | 1150 E Matthews Ave, Suite 101, Jonesboro, AR 72401-4314 | 2005-08-15 |
| 1306845490 | Maria Teresa A Coleman | Pediatrics | 236 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2005-07-20 |
| 1194282822 | Kion Pediatrics | Pediatrics | 3410 E Johnson Ave Ste T, Jonesboro, AR 72401-2032 | 2019-02-28 |
| 1285198507 | Tanika D Jarrett | Pediatrics | 3203 Methodist Dr, Jonesboro, AR 72401-7434 | 2019-01-31 |
| 1124448782 | Christine Dehnert Kofman | Pediatrics | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2014-04-22 |
| Find all providers in JONESBORO | ||||
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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.