PHILIP D PAN


Address: 710 N 8th St, Springfield, IL 62702-6324
Phone: 2175458000

PHILIP D PAN (NPI# 1548248180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548248180
Entity Type Individual
Full Name PHILIP D PAN
Credential M.D.
Practice Address 710 N 8th St
Springfield
IL 62702-6324
Mailing Address Po Box 19670
Springfield
IL 62794-9670
Practice Telephone 2175458000
Practice Fax Number 2175451351
Mailing Telephone 2175458000
Mailing Fax Number 2177471351
Enumeration Date 2006-01-04
Last Update Date 2018-09-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
036-086766 IL Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
036-086766 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 036-086766 01
IL 036086766 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
520 N 4th St, Springfield, IL 627025238 2175458000 2177471351

Other Providers PHILIP PAN

NPI Name Taxonomy Address Enumeration
1083902340 Philip Pan Dentist 4800 S Hulen St, #102, Fort Worth, TX 76132-1419 2011-07-20

Office Location

Street Address 710 N 8TH ST
City SPRINGFIELD
State IL
Zip Code 62702-6324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982211967 Alicia C Urven Counselor 710 N 8th St, Springfield, IL 62702-6324 2020-09-24
1144856022 Jon M Bormann Counselor 710 N 8th St, Springfield, IL 62702-6324 2020-03-23
1619500352 Bryanna R Hea Social Worker 710 N 8th St, Springfield, IL 62702-6324 2020-02-21
1407489685 Benjamin L Yamnitz Social Worker 710 N 8th St, Springfield, IL 62702-6324 2020-02-17
1861031163 Leaha K Jones Counselor 710 N 8th St, Springfield, IL 62702-6324 2020-01-03
1386125060 Melissa E. Norville Counselor 710 N 8th St, Springfield, IL 62702-6324 2018-08-22
1144710286 Bridget Palmatier Counselor 710 N 8th St, Springfield, IL 62702-6324 2018-05-15
1932606225 Alishia Williams Counselor 710 N 8th St, Springfield, IL 62702-6324 2018-04-12
1619474905 Sarah Siegel Social Worker 710 N 8th St, Springfield, IL 62702-6324 2018-04-12
1255842142 Emily K Sinclair Counselor 710 N 8th St, Springfield, IL 62702-6324 2017-10-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164076683 Forefront-khatkhate Medical Services PC Psychiatry & Neurology 600 S 2nd St Ste 404, Springfield, IL 62704-2542 2019-08-01
1699043976 Terry Arthur Travis Psychiatry & Neurology 1200 Ravenswood, Na, Springfield, IL 62711-6079 2011-12-01
1659512184 Julie A. Warren, Md LLC Psychiatry & Neurology 1911 S. National Avenue, Suite 405, Springfield, MO 65804 2009-03-12
1255577821 William Basham Psychiatry & Neurology 5729 Main St # 330, Springfield, OR 97478-5426 2009-01-01
1679718043 Leslie Jeanne Phelps Psychiatry & Neurology 1717 E. Primrose St., Apartment B204, Springfield, MO 65804-5413 2008-12-12
1134302656 Interlink Behavioral Services, P.C. Psychiatry & Neurology 3121 S Terrace Green Ct, Springfield, MO 65804-4555 2007-12-06
1366621351 Azra A Farooqui Psychiatry & Neurology 7745 Jewelweed Ct, Springfield, VA 22152-3148 2007-10-26
1093919714 Lillian Joy Houston Psychiatry & Neurology 315 W Carpenter St Dept Of, Springfield, IL 62702-4901 2007-06-14
1881808145 Yakhmi Mds Psychiatry & Neurology 1505 N Limestone St, Springfield, OH 45503-3317 2007-05-09
1588784706 Asad Gobar Psychiatry & Neurology 5922 Hall St, Springfield, VA 22152-1401 2007-03-30
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Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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