DR. MICAH R CHAN (NPI# 1659322048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659322048 |
| Entity Type | Individual |
| Full Name | DR. MICAH R CHAN |
| Credential | MD |
| Practice Address |
3034 Fish Hatchery Rd Ste B Uw Nephrology Fitchburg WI 53713-3125 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082705656 |
| Practice Fax Number | 6082625624 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
43232 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083083323 | Micah Chan | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-09-16 |
| Street Address |
3034 FISH HATCHERY RD STE B UW NEPHROLOGY |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53713-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598738247 | Christoph H Eggert | Internal Medicine | 2840 Index Rd, Fitchburg, WI 53713-3117 | 2006-02-10 |
| 1295717734 | Francis X Zambetti | Internal Medicine | 551 Electric Ave, Fitchburg, MA 01420-5371 | 2005-11-18 |
| 1407132285 | North County Nephrology Ass. P.C. | Internal Medicine | 551 Electric Ave, Fitchburg, MA 01420 | 2011-10-25 |
| 1235466020 | Gauri Bhutani | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2009-11-16 |
| 1154558773 | Uzoamaka E Achufusi | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2009-06-22 |
| 1528218781 | Tripti Singh | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2008-09-24 |
| 1356506794 | Ali Ibrahim Gardezi | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2008-07-24 |
| 1114197878 | Laura Maursetter | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2008-03-08 |
| 1053439323 | Sarah E Panzer | Internal Medicine | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2007-03-26 |
| 1104834894 | Madison Area Renal Specialists, Sc | Internal Medicine | 2840 Index Rd, Fitchburg, WI 53713-3117 | 2006-08-04 |
| Find all providers in FITCHBURG | ||||
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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.