KATHRYN R CHAN (NPI# 1588698369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588698369 |
| Entity Type | Individual |
| Full Name | KATHRYN R CHAN |
| Credential | MD |
| Practice Address |
490a W Zia Rd Santa Fe NM 87505-6996 |
| Practice Telephone | 5059138900 |
| Practice Fax Number | 5059138923 |
| Mailing Telephone | 5059138900 |
| Mailing Fax Number | 5059138923 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD426874 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD426874 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
490A W ZIA RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-6996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663306 | Leanna J Scott-timperley | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2005-07-14 |
| 1013280056 | Carolyn Sue Phillips | Nurse Practitioner | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2012-02-22 |
| 1922296656 | Jennifer Porter | Nurse Practitioner | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2007-10-09 |
| 1033302625 | Fei Gu | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2007-08-27 |
| 1750403259 | Amber Reynolds | Acupuncturist | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2007-04-04 |
| 1508916875 | Cheryll L Willin | Nurse Practitioner | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2007-01-11 |
| 1548340870 | Scott Herbert | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2006-10-17 |
| 1700816527 | New Mexico Cancer Care Associates | Specialist | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2006-07-04 |
| 1568418697 | Celina M Luchetti | Physician Assistant | 490a W Zia Rd, Suite 200, Santa Fe, NM 87505-6996 | 2006-05-26 |
| 1487653176 | David A Snyder | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2005-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| 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 |
|---|---|---|---|---|
| 1336447440 | Jacob Amir | Internal Medicine | 5 Enmedio Pl, Santa Fe, NM 87508-2156 | 2011-03-14 |
| 1881711877 | St. Vincent Hospital | Internal Medicine | 490 W Zia Rd, A, Santa Fe, NM 87505-6996 | 2007-03-23 |
| 1588663306 | Leanna J Scott-timperley | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2005-07-14 |
| 1558569913 | High Desert Hematology-oncology | Internal Medicine | 460 Saint Michaels Dr, Suite 1204, Santa Fe, NM 87505-7619 | 2007-07-06 |
| 1801015664 | High Desert Hematology Oncology PC | Internal Medicine | 460 Saint Michaels Dr, Suite 1204, Santa Fe, NM 87505-7619 | 2007-04-24 |
| 1487653176 | David A Snyder | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2005-07-15 |
| 1174521983 | Timothy M Lopez | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2005-07-14 |
| 1578562393 | Karen L Lorusso | Internal Medicine | 490a W Zia Rd, Santa Fe, NM 87505-6996 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1962799775 | Sardar Zakariya Imam | Internal Medicine | 2325 E 30th St, Farmington, NM 87401-8900 | 2011-06-30 |
| 1053621060 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 3028 N. Grimes, Hobbs, NM 88241 | 2010-10-13 |
| 1033435490 | Heloisa Prado Soares | Internal Medicine | Msc07 4025 1 University of Nm, Albuquerque, NM 87131-9416 | 2010-04-10 |
| 1427298520 | Ramadevi Medavarapu | Internal Medicine | 4391 E Lohman Ave, Las Cruces, NM 88011 | 2009-03-02 |
| 1477693554 | Ikenna C Osuorji | Internal Medicine | 4050 Northrise Dr, Las Cruces, NM 88011-7327 | 2007-02-07 |
| 1801972518 | Jeffrey D Neidhart | Internal Medicine | 735 W. Animas Street, Farmington, NM 87401 | 2006-10-27 |
| 1487743092 | Wadih Arap | Internal Medicine | 1 University of New Mexico Msc 07 4025, 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-10-12 |
| 1114990298 | Murray M Bern | Internal Medicine | Unm Cancer Ctr, Msc 07-4025 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-02-09 |
| 1932187044 | Masoud Khorsand- Sahbaie Md P A | Internal Medicine | 407 W. Country Club Road, Roswell, NM 88201 | 2006-01-09 |
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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.