DR. MICHAEL DAVID CHAN (NPI# 1225151152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225151152 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID CHAN |
| Credential | M.D. |
| Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367162255 |
| Practice Fax Number | 3367136565 |
| Mailing Telephone | 3367162255 |
| Mailing Fax Number | 3367136565 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2010-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2008-00435 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5910511 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235775784 | Michael Chan | Physical Therapist | 2207 Rockefeller Ln Apt A, Redondo Beach, CA 90278-4488 | 2019-11-19 |
| 1700151958 | Michael Philip Chan | Internal Medicine | 2345 Spruce Goose St # C234, Las Vegas, NV 89135-2625 | 2012-03-20 |
| 1598083255 | Michael Wing-ming Chan | Pediatrics | 1010 W La Veta Ave Ste 755, Orange, CA 92868-4306 | 2010-05-05 |
| 1679895254 | Michael Vincent Chan | Pharmacist | 931d Conklin Street, Farmingdale, NY 11735-2429 | 2010-02-23 |
| 1205985322 | Michael Chan | Specialist/Technologist | 5101 John C Lodge Fwy, 101 Matthaei Building, Detroit, MI 48202-3327 | 2007-01-09 |
| 1023113412 | Michael M Chan | Dentist | 601 S 75th St, Houston, TX 77023 | 2006-09-13 |
| 1518909654 | Michael Cheeluen Chan | Obstetrics & Gynecology | 11660 South Street, Suite 110, Artesia, CA 90701-6614 | 2006-06-12 |
| 1831163021 | Michael Lap Chan | Dentist | 1725 S Nogales Ave, Suite 107, Rowland Heights, CA 91748 | 2006-02-14 |
| 1073128427 | Michael Chan | Dentist | 111 E Live Oak Ave, Arcadia, CA 91006-5240 | 2020-09-12 |
| 1770115768 | Michael Chan | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-07 |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
| 1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
| 1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
| 1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
| 1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
| 1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
| 1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
| 1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
| 1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
| 1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205214848 | Ryan Thomas Hughes | Radiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2015-05-15 |
| 1184069478 | Philmo Youngmin Oh | Radiology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2013-05-01 |
| 1184903205 | Christina Kehl Cramer | Radiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-08-07 |
| 1508094681 | Jeffrey G Kuremsky | Radiology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2009-06-26 |
| 1326165663 | Doris Brown | Radiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-03-23 |
| 1356426548 | James Anthony Palermo | Radiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2006-10-26 |
| 1134219108 | Piedmont Radiation Oncology P A | Radiology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2006-10-13 |
| 1487747648 | Beverly Dawn Moose | Radiology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2006-10-02 |
| 1326131509 | Judith Di Rocco Sears | Radiology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | 2006-10-02 |
| 1952494122 | Lisa Smith Evans | Radiology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2006-10-02 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on DR. MICHAEL DAVID CHAN.
| 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.