MS. CHRISTINE PAN (NPI# 1659613818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659613818 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE PAN |
| Credential | M.D. |
| Practice Address |
679 E County Line Rd Greenwood IN 46143-1049 |
| Practice Telephone | 3178902000 |
| Practice Fax Number | 3178597220 |
| Mailing Telephone | 3178902000 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 01078870A | IN | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
01078870A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386822435 | Christine Ting-fu Pan | Chiropractor | 111 N Wabash Ave, Ste 1414, Chicago, IL 60602-3070 | 2008-01-31 |
| Street Address |
679 E COUNTY LINE RD |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209184 | Kristian Hale Jensen | Physician Assistant | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2005-07-19 |
| 1760021661 | Crystal Hackett | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2019-12-26 |
| 1285184440 | Urology of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-10-11 |
| 1659824175 | Stephanie Lynn Corman | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-08-02 |
| 1548619190 | Alexander John Felt | Physician Assistant | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-06-05 |
| 1225485899 | Urology of Indiana, LLC | Obstetrics & Gynecology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-05-24 |
| 1073969457 | Maria Huynh | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2016-05-04 |
| 1295145159 | Brian Orr | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2014-04-30 |
| 1376981084 | Teresa A Lain | Nurse Practitioner | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2013-06-05 |
| 1033462239 | Jason Ronald Kovac | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487809588 | Associated Surgeons and Physicians, LLC | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2008-11-18 |
| 1003880527 | Gita S Singh | Obstetrics & Gynecology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675 | 2006-02-13 |
| 1386639565 | Scott C Boyd | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2005-09-14 |
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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.