DR. RANDY MICHAEL CHAN (NPI# 1194139519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194139519 |
| Entity Type | Individual |
| Full Name | DR. RANDY MICHAEL CHAN |
| Credential | D.O. |
| Practice Address |
109 Bridge St Ste 201 Danville VA 24541-1222 |
| Mailing Address |
611 W Park St Fapc Urbana IL 61801-2529 |
| Practice Telephone | (434) 799-4488 |
| Mailing Telephone | 2173833311 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036145339 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 Bridge St Ste 201, Danville, VA 245411222 | (434) 799-4488 | |
| 142 S Main St, Danville, VA 245412922 | 6303793831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943631 | Randy Chan | Community Health Worker | 1001 Potrero Ave # 7m36, San Francisco, CA 94110-3518 | 2019-10-14 |
| 1811254741 | Randy Chan | Physical Therapist | 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 | 2012-04-17 |
| Street Address |
109 BRIDGE ST STE 201 |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268670 | Stephen Michael Pillinger | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2020-06-02 |
| 1821612292 | Sarah Elizabeth Marie Pardue | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2020-06-02 |
| 1922622406 | Holly Camille Howard | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2020-06-01 |
| 1346864832 | Seavon Munoz | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2020-06-01 |
| 1083238547 | Anum Hasan | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2020-06-01 |
| 1922622539 | Bushra Ferdous | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2020-05-31 |
| 1366009458 | Salma Zia Khan | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2019-05-23 |
| 1548827645 | Chan Eui Hong | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2019-05-23 |
| 1679130991 | Zonaira Shabbir | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2019-05-22 |
| 1740847045 | Silas Hyun Seok Shin | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| 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 |
|---|---|---|---|---|
| 1801431648 | Selena Michelle Richert | Family Medicine | 24359 Orange Hill Rd, Danville, OH 43014-9647 | 2019-11-15 |
| 1114309267 | Yi Ding | Family Medicine | 800 Memorial Dr Ste D, Danville, VA 24541-1680 | 2015-06-25 |
| 1285026062 | Kavita Tripathi | Family Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2015-03-03 |
| 1225476120 | Natalie Alexander | Family Medicine | 201 South Main St., Suite 3200, Danville, VA 24541-2922 | 2013-06-13 |
| 1033472683 | Bayview Family Clinic - Danville | Family Medicine | 3595 N Vermilion St, Danville, IL 61832-1337 | 2012-06-19 |
| 1326322736 | Family Practice Medical Center | Family Medicine | 511 W. Fairchild Street, Danville, IL 61832 | 2011-10-04 |
| 1750566162 | Bashirahmed M Ameji | Family Medicine | 3820 East Main Street, Danville Correctional Center Medical Department, Danville, IL 61834-5796 | 2008-01-03 |
| 1134314602 | Provena Service Corporation | Family Medicine | 405 Sheridan St, Danville, IL 61832-4451 | 2007-09-07 |
| 1376743278 | Michael R Rousse | Family Medicine | 1301 Stannard Mtn Rd, Danville, VT 05828-4417 | 2007-07-19 |
| 1457572604 | Kesari Md Inc | Family Medicine | 163 Prichard Rd, Danville, WV 25053 | 2007-05-02 |
| Find all providers in DANVILLE | ||||
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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.