RODRIGO C CHAN (NPI# 1659349512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659349512 |
| Entity Type | Individual |
| Full Name | RODRIGO C CHAN |
| Credential | MD |
| Practice Address |
130 S 63rd St 106 Mesa AZ 85206-1620 |
| Practice Telephone | 4807732220 |
| Practice Fax Number | 4804520533 |
| Mailing Telephone | 4807732220 |
| Mailing Fax Number | 4804520533 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
29915 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
29915 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAIL ROAD MEDICARE | P00086778 | 01 |
| AZ | 631508 | 05 |
| Street Address |
130 S 63RD ST 106 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313643 | Diana Lynne Kesler-la Clair | Nurse Practitioner | 130 S 63rd St, Bldg 3 Suite 114, Mesa, AZ 85206-1620 | 2005-08-12 |
| 1770050288 | Tracy Nicole Clifford | Family Medicine | 130 S 63rd St, Mesa, AZ 85206-1620 | 2018-11-01 |
| 1740677079 | Ali Marzooq | Internal Medicine | 130 S 63rd St, Mesa, AZ 85206-1620 | 2015-04-24 |
| 1326432501 | Nicole Maria Jones | Nurse Practitioner | 130 S 63rd St, Ste 106, Mesa, AZ 85206-1620 | 2015-03-25 |
| 1174949754 | Chan Heart Rhythm Institute Pllc | Internal Medicine | 130 S 63rd St, Ste 106, Mesa, AZ 85206-1620 | 2014-03-06 |
| 1255763504 | Sonora Quest Laboratories, LLC | Clinical Medical Laboratory | 130 S 63rd St, Bldg 2, Ste 107, Mesa, AZ 85206-1620 | 2013-08-08 |
| 1023366507 | East Valley Urology, P.C. | Urology | 130 S 63rd St, Suite #101, Mesa, AZ 85206-1620 | 2012-08-15 |
| 1922378850 | Integrated Dermatology of Mesa Pllc | Dermatology | 130 S 63rd St, Suite 114, Mesa, AZ 85206-1620 | 2012-01-10 |
| 1700061363 | Dht Hand Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 130 S 63rd St, Suite 110, Mesa, AZ 85206-1620 | 2008-01-02 |
| 1780801506 | Alta Dermatology Group Ltd | Dermatology | 130 S 63rd St, Bldg 3 Ste 114, Mesa, AZ 85206-1620 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1528673092 | Cai Ncp East Mesa Jv LLC | Internal Medicine | 10238 E Hampton Ave Ste 201, Mesa, AZ 85209-3318 | 2020-09-11 |
| 1427523471 | Dr. David Wilcoxson and Associates, LLC | Internal Medicine | 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 | 2018-10-05 |
| 1245539659 | Ambrose Francis Panico | Internal Medicine | 6116 E Arbor Ave Ste 112, Mesa, AZ 85206-6103 | 2011-03-24 |
| 1114221694 | Great Valley Cardiology Pllc | Internal Medicine | 6106 E Brown Rd Ste 101, Mesa, AZ 85205-4954 | 2010-12-27 |
| 1144294109 | Seyed Mohsen Sharifi Takieh | Internal Medicine | 3850 E Baseline Rd Ste 102, Mesa, AZ 85206-4403 | 2006-02-15 |
| 1134121874 | Charles M.t. Jost | Internal Medicine | 140 S Power Rd, Mesa, AZ 85206-5297 | 2005-08-12 |
| 1902805880 | Jay A Shechter | Internal Medicine | 6750 E Baywood Ave # 301, Mesa, AZ 85206-1749 | 2005-07-21 |
| 1164421251 | Zelalem Yilma | Internal Medicine | 6859 E Rembrandt Ave, Suite 117, Mesa, AZ 85212-3628 | 2005-07-20 |
| 1699770289 | Alan M. Grossman | Internal Medicine | 6116 E Arbor Ave, Suite 112, Mesa, AZ 85206 | 2005-06-20 |
| 1588667596 | Michael Ramsey Jerman | Internal Medicine | 10238 E Hampton Ave Ste 501, Mesa, AZ 85209-3321 | 2005-05-23 |
| Find all providers in MESA | ||||
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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.