DR. ALFRED H CHAN (NPI# 1265461768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265461768 |
Entity Type | Individual |
Full Name | DR. ALFRED H CHAN |
Credential | M.D. |
Practice Address |
6323 111th St Sw Lakewood WA 98499-1303 |
Practice Telephone | 2534456613 |
Practice Fax Number | 2535829172 |
Mailing Telephone | 2534456613 |
Mailing Fax Number | 2535829172 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD00019718 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | REGENCE ID NUMBER | CH5285 | 01 |
WA | LABOR & INDUSTRIES ID NUM | 91836 | 01 |
WA | 1105063 | 05 |
Street Address |
6323 111TH ST SW |
City | LAKEWOOD |
State | WA |
Zip Code | 98499-1303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790247088 | Denture Services Northwest Inc | Denturist | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2019-04-04 |
1871032193 | Cascade Pain Pllc | Pain Medicine | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2017-02-20 |
1124463864 | Washington Center for Pain Management LLC | Pain Medicine | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2013-05-08 |
1356515548 | Alfred H Chan Md PC | Specialist | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2008-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
Find all providers in zip 98499 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992976237 | Sarah J Easaw Md LLC | Internal Medicine | 1255 Route 70 Ste 31s, Lakewood, NJ 08701-5973 | 2008-03-14 |
1790818425 | Western Hematology Oncology Associates, P.C. | Internal Medicine | 34 Van Gordon St, Suite 160, Lakewood, CO 80228-1705 | 2007-03-13 |
1073667010 | Vincent J. O'brien Jr. Md, Inc | Internal Medicine | 14601 Detroit Ave Ste 450, Lakewood, OH 44107-4251 | 2007-01-23 |
1811904188 | David Morrison | Internal Medicine | 3300 E South St Ste 304, Lakewood, CA 90805-4594 | 2006-08-01 |
1407812043 | Nauman Moazzam | Internal Medicine | 11750 W. 2nd Place Suite 100, Lakewood, CO 80228-1705 | 2006-04-22 |
1013991736 | Stephen J Frank | Internal Medicine | 34 Van Gordan St, Ste 160, Lakewood, CO 80228 | 2005-12-06 |
1972587533 | Alvin L Otsuka | Internal Medicine | 11750 W. 2nd Place Suite100, Lakewood, CO 80228-1705 | 2005-12-06 |
1063411684 | Sultanali Alidina | Internal Medicine | 3300 E South St, Suite 209, Lakewood, CA 90805-4549 | 2005-07-15 |
1831506898 | Junaid Arshad | Internal Medicine | 3300 E South St Ste 304, Lakewood, CA 90805-4594 | 2014-07-22 |
1881872687 | Eric M. Cheung | Internal Medicine | 3300 E South St, Suite 305, Lakewood, CA 90805-4549 | 2008-02-04 |
Find all providers in LAKEWOOD |
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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.