YAO-SHAN FAN (NPI# 1326098500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326098500 |
| Entity Type | Individual |
| Full Name | YAO-SHAN FAN |
| Credential | MD, PHD |
| Practice Address |
1601 Nw 12th Ave Box 016960 M851 Miami FL 33136-1005 |
| Practice Telephone | 3052437688 |
| Practice Fax Number | 3052438470 |
| Mailing Telephone | 3052437688 |
| Mailing Fax Number | 3052438470 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MFC1592 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
ME133010 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2752441-00 | 05 |
| Street Address |
1601 NW 12TH AVE BOX 016960 M851 |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932171196 | Lesley Jacqueline Smith | Pediatrics | 1601 Nw 12th Ave, Mailman Center 3005a, Div Peds Gi & Nutriton, Miami, FL 33136-1005 | 2006-02-02 |
| 1871131383 | Nancy Cruz | Specialist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2019-12-16 |
| 1750870341 | Cara Axelrod | Dietitian, Registered | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2018-05-09 |
| 1447750260 | Sadie Vega-velasquez | Speech-Language Pathologist | 1601 Nw 12th Ave, 5065, Miami, FL 33136 | 2018-02-19 |
| 1851819130 | Milvia Tellez | Nurse Practitioner | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2017-09-06 |
| 1457872749 | Daniela Marie Berrios | Speech-Language Pathologist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2017-06-28 |
| 1750815056 | Allison Weinstein | Psychologist | 1601 Nw 12th Ave, 4018a, Miami, FL 33136-1005 | 2017-04-13 |
| 1740714948 | Eileen Matias Davis | Psychologist | 1601 Nw 12th Ave, Suite 4059, Miami, FL 33136-1005 | 2017-04-13 |
| 1902350838 | Sandra Ibanez | Counselor | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-08-09 |
| 1538512660 | Brittani Houston | Audiologist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114179991 | Mustafa Tekin | Medical Genetics | 1601 Nw 12th Ave Ste 5041, Dr. John T. Macdonald Found. Dept. of Human Genetics, Miami, FL 33136-1005 | 2008-10-13 |
| 1497378624 | David Brown & Associates, Pa | Medical Genetics | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
| 1780138628 | Pediatric Specialty Group, Inc. | Medical Genetics | 3100 Sw 62nd Ave, 3rd Floor- Brain Institute, Miami, FL 33155 | 2016-08-09 |
| 1467876367 | Variety Children's Hospital | Medical Genetics | 3915 Biscayne Blvd, Miami, FL 33137-3779 | 2014-02-12 |
| 1023452885 | Sajel Lala Kana | Medical Genetics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2013-04-24 |
| 1952602278 | Paul Antonio Cardenas | Medical Genetics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2010-11-03 |
| 1245472349 | Brocha F. Tarshish | Medical Genetics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-04-03 |
| 1194930412 | Aparna Rajadhayaksha | Medical Genetics | 3100 Sw 62nd Avenue, Dept of Genetics, Miami, FL 33155-1005 | 2007-05-11 |
| 1811947336 | University of Miami | Medical Genetics | 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-05-12 |
| 1760432579 | University of Miami | Medical Genetics | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-05-11 |
| Find all providers in MIAMI | ||||
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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.