DR. KATHERINE HUBERT CHAN (NPI# 1205041274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205041274 |
Entity Type | Individual |
Full Name | DR. KATHERINE HUBERT CHAN |
Credential | M.D. |
Practice Address |
300 Longwood Ave Department of Urology Boston MA 02115-5724 |
Mailing Address |
250 N Shadeland Ave Suite 130 Indianapolis IN 46219-4959 |
Practice Telephone | 6173556326 |
Enumeration Date | 2007-05-13 |
Last Update Date | 2016-01-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 01072814A | IN | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 57. 008401 | OH | Allopathic & Osteopathic Physicians |
N | 2088P0231X |
Urology Specialization: Pediatric Urology |
238864 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM BCBS PIN | 000000824262 | 01 |
IN | 201182650 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104435205 | Katherine Valerie Chan | Counselor | 10710 Northgate St, Culver City, CA 90230-5419 | 2020-07-24 |
1922652577 | Katherine Fair Chan | Clinical Neuropsychologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-07-31 |
1659844421 | Katherine Chan | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2019-01-04 |
1306368899 | Katherine Chan | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-07-17 |
1366976037 | Katherine Chan | Pharmacist | 2525 Via Campo, Montebello, CA 90640-1806 | 2017-04-19 |
1407304231 | Katherine Maya Chan | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2016-09-21 |
1831647270 | Katherine Chan | Pharmacist | 2500 Merced St, Outpatient Pharmacy, 1st Floor, San Leandro, CA 94577-4201 | 2016-09-14 |
1003254012 | Katherine Lillian Chan | Family Medicine | 798 Executive Dr, Oviedo, FL 32765 | 2013-06-12 |
1821384801 | Katherine Chan | Pharmacist | 6169 W Stoner Dr Ste 180, Greenfield, IN 46140-6604 | 2011-06-28 |
Street Address |
300 LONGWOOD AVE DEPARTMENT OF UROLOGY |
City | BOSTON |
State | MA |
Zip Code | 02115-5724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588667539 | Barry Grant Zallen | Pediatrics | 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 | 2005-05-23 |
1730780669 | Hannah Fraser | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-06 |
1164023776 | Hannah Brewer | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-02 |
1104423680 | Justin Matthias Hintze | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-10-07 |
1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
1144835224 | Abby Elizabeth Bandi | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
1558976845 | Hilary Segar Garber | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-13 |
1063026003 | Lauren M Dilullo | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-08 |
1013521004 | Carl Britto | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5737 | 2020-09-07 |
1760096887 | Rebecca Marie Leslie | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952796518 | Filipe La Fuente De Carvalho | Urology | 55 Fruit St Dept of Urology, Boston, MA 02114-2621 | 2015-03-31 |
1083955538 | Eugene Blanchard Cone | Urology | 55 Fruit St - Grb 1100, Massachusetts General Hospital - Department of Urology, Boston, MA 02114 | 2013-03-08 |
1861780983 | Mark Arthur Preston | Urology | 36 Hancock St, Apt 5b, Boston, MA 02114-4117 | 2011-07-11 |
1841589132 | Dimitar Zlatev | Urology | 55 Fruit St # 1102, Boston, MA 02114-2621 | 2011-04-07 |
1275733867 | Peter Chang | Urology | 330 Brookline Ave # Rabb440, Boston, MA 02215-5400 | 2007-07-20 |
1659576189 | Jairam R Eswara | Urology | 45 Francis Street, Asb-iii, Brigham and Women's Hospital, Division of Urology, Boston, MA 02115-6105 | 2007-06-15 |
1699855619 | Elise De | Urology | 165 Cambridge St Fl 7, Boston, MA 02114-2783 | 2006-10-16 |
1295769958 | Carlos R Estrada Jr. | Urology | Children's Hospital, Hu390, 300 Longwood Avenue, Dept. of Urology, Boston, MA 02115 | 2006-07-10 |
1891733101 | Anurag K Das | Urology | 330 Brookline Ave., Urology, Beth Israel Deaconess Medical Center, Boston, MA 02215 | 2006-06-02 |
1699722082 | Andrew A Wagner | Urology | Rabb 440, Beth Israel Deaconess Medical Center, Boston, MA 02215-0000 | 2006-05-30 |
Find all providers in BOSTON |
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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.