DR. TIMOTHY CHAN I (NPI# 1790955367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790955367 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY CHAN I |
| Credential | DPM |
| Practice Address |
2800 Doral Ct Las Cruces NM 88011-8616 |
| Practice Telephone | 5755210055 |
| Mailing Telephone | 5755210055 |
| Mailing Fax Number | 3526885415 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3400 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MCR | CZ549Z | 01 |
| FL | NPI | 1790955367 | 01 |
| FL | PTAN | 6364940001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7394 W Gulf To Lake Hwy, Crystal River, FL 344297802 | 3525640444 | 3525644222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015053 | Timothy Chan | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2019-10-18 |
| 1487175535 | Timothy Chan | Family Medicine | 999 S Volusia Ave, Orange City, FL 32763-6564 | 2017-06-29 |
| 1316251481 | Timothy Y Chan | Pharmacist | 2201 Edgewater Dr, Orlando, FL 32804-5319 | 2010-08-01 |
| 1538205620 | Timothy An-thy Chan | Radiology | 1275 York Ave, Box 20, New York, NY 10065-6007 | 2007-01-29 |
| Street Address |
2800 DORAL CT |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095926 | Carlos A Cadena | Podiatrist | 2800 Doral Ct, Ste A, Las Cruces, NM 88011-8616 | 2005-10-04 |
| 1275013922 | Kathleen A Stevens | Nurse Practitioner | 2800 Doral Ct, Las Cruces, NM 88011-8616 | 2018-08-21 |
| 1275742074 | Raha M. Mobarak | Podiatrist | 2800 Doral Ct, Las Cruces, NM 88011-8616 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699039297 | Michael Douglas Sefcik | Podiatrist | 1135 N Solano Dr, Las Cruces, NM 88001-2349 | 2012-06-28 |
| 1598053332 | Mesilla Valley Footcare Physicians Inc. | Podiatrist | 2930 Hillrise, Las Cruces, NM 88011 | 2011-07-14 |
| 1679617229 | Carlos A Cadena Dpm PC | Podiatrist | 2800 Doral Ct Ste A, Las Cruces, NM 88011-8616 | 2007-02-16 |
| 1922095926 | Carlos A Cadena | Podiatrist | 2800 Doral Ct, Ste A, Las Cruces, NM 88011-8616 | 2005-10-04 |
| 1992327811 | Zia Foot & Ankle | Podiatrist | 4151 Camino Coyote, Las Cruces, NM 88011-7096 | 2020-05-13 |
| 1275742074 | Raha M. Mobarak | Podiatrist | 2800 Doral Ct, Las Cruces, NM 88011-8616 | 2007-05-21 |
| 1225194608 | Rio Grande Foot Clinic Inc | Podiatrist | 710 S Alameda Blvd, Las Cruces, NM 88005-2928 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902335102 | Sandia Foot and Ankle, LLC | Podiatrist | 8224 Louisiana Blvd Ne Ste C, Albuquerque, NM 87113-2108 | 2017-06-09 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1083029870 | Elise Suzan Janowak | Podiatrist | 2019 Galisteo St Ste K-2, Santa Fe, NM 87505-2143 | 2014-07-01 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 1649587676 | Omid Hazini | Podiatrist | 1501 San Pedro S.e., Albuquerque, NM 87108 | 2010-09-13 |
| 1164745824 | Scott William Gordon | Podiatrist | 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 | 2010-03-10 |
| 1265766992 | Uchenna Chukwurah | Podiatrist | 717 Encino Pl Ne Ste 3, Albuquerque, NM 87102-2623 | 2009-09-29 |
| 1427294982 | Roderick Douglas Farley | Podiatrist | 8001 Merissa Ln Ne, Albuquerque, NM 87122-3763 | 2009-01-05 |
| 1376637751 | George C Ochs | Podiatrist | 2400 Unser Blvd Se Ste 8100, Rio Rancho, NM 87124-4740 | 2006-10-03 |
| 1396857355 | Katrine Ann Mitchell | Podiatrist | 10511 Golf Course Road Nw, Suite 103, Albuquerque, NM 87048 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on DR. TIMOTHY CHAN I.
| 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.