JENNIFER PHAN (NPI# 1861621880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861621880 |
Entity Type | Individual |
Full Name | JENNIFER PHAN |
Credential | M.D. |
Practice Address |
3113 N Broadway Street Anderson IN 46012-1261 |
Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
Practice Telephone | 7652984660 |
Enumeration Date | 2009-07-12 |
Last Update Date | 2020-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 11014885A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RR MEDICARE | P01723972 | 01 |
IN | 201110020 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
1609372150 | Jennifer Phan | Nurse Practitioner | 1452 Reed Ave, San Diego, CA 92109-5351 | 2018-04-03 |
1114333697 | Jennifer Phan | Pharmacist | 6848 Landing Dr, Grand Prairie, TX 75054-6810 | 2014-07-07 |
1538443460 | Jennifer Trinh Phan | Nurse Practitioner | 266 Main St Ste 4, Medfield, MA 02052-2018 | 2011-10-11 |
1376003509 | Jennifer Phan | Student in an Organized Health Care Education/Training Program | 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 | 2019-03-22 |
1023502713 | Jennifer Thuy Phan | Pharmacist | 4810 Lapalco Blvd, Marrero, LA 70072 | 2018-06-18 |
1780002055 | Jennifer Phan | Internal Medicine | 200 Medical Plaza Ste 214, Los Angeles, CA 90095-1804 | 2014-04-02 |
1205265956 | Jennifer Phan | Pharmacist | 6325 Rosemead Blvd, San Gabriel, CA 91775-1933 | 2013-11-04 |
1972930394 | Jennifer Kim Phan | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407 | 2013-09-30 |
1780991067 | Jennifer N Phan | Registered Nurse | 7000 E. Belleview, #301, Greenwood Village, CO 80111 | 2010-09-08 |
Street Address |
3113 N BROADWAY STREET |
City | ANDERSON |
State | IN |
Zip Code | 46012-1261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447570320 | Kia Renee Jones | Otolaryngology | 3113 N Broadway Street, Anderson, IN 46012-1261 | 2010-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184142358 | Conduct Curb, LLC | Behavioral Analyst | 3084 Broadway Street, Anderson, IN 46012 | 2017-09-07 |
1336697119 | Patricia Jones | Specialist/Technologist | 1100 East 5th Street, Anderson, IN 46012 | 2016-09-21 |
1558689166 | Amber Marie Rose | Physical Therapy Assistant | 100 N. 16th Street, The Waters of New Castle, New Castle, IN 46012 | 2010-05-06 |
1457581134 | Jennifer L Stanley | Nurse Practitioner | 2976 N Scattefield Rd, Suite 101, Anderson, IN 46012 | 2009-07-16 |
1427291020 | Richland Township | Ambulance | 405 East 500 North, Anderson, IN 46012 | 2009-04-13 |
1326231408 | Jessica R Finn | Speech-Language Pathologist | 2519 E 10th St Ste A, Anderson, IN 46012 | 2007-08-22 |
1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
1619199221 | Lifetime Dental Care of Indiana, PC | Dentist | 777 Broadway, Suite A, Anderson, IN 46012 | 2007-05-03 |
1750423265 | Physicians Weight Loss Center | Clinic/Center | 2976 N Scatterfield Rd Suite 121, Anderson, IN 46012 | 2007-02-12 |
1235283102 | Gregory Robert Busing | Dentist | 1700 Broadway St, Anderson, IN 46012 | 2007-01-22 |
Find all providers in zip 46012 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255446266 | James Milligan | Otolaryngology | 2101 Jackson St Ste 115, Anderson, IN 46016-4386 | 2006-08-20 |
1447200936 | Anderson Ent, Pa | Otolaryngology | 1206 Cornelia Rd, Anderson, SC 29621-3349 | 2006-05-12 |
1790770097 | Paul D Warrick | Otolaryngology | 2101 Jackson St Ste 209, Anderson, IN 46016-4387 | 2005-09-13 |
1063805992 | Zachary Griggs | Otolaryngology | 1655 E Greenville St, Anderson, SC 29621-2062 | 2015-03-17 |
1659624120 | Anmed Health | Otolaryngology | 1655 E Greenville St, Anderson, SC 29621-2062 | 2012-10-22 |
1699034181 | Joshua B Greene | Otolaryngology | 2101 Jackson St Ste 115, Anderson, IN 46016-4386 | 2012-05-03 |
1447570320 | Kia Renee Jones | Otolaryngology | 3113 N Broadway Street, Anderson, IN 46012-1261 | 2010-06-02 |
1386897346 | Thomas Justin Way | Otolaryngology | 1655 E Greenville St, Anderson, SC 29621-2062 | 2008-11-03 |
1992962435 | Peter Nielsen Schilt | Otolaryngology | 2101 Jackson St Ste 115, Anderson, IN 46016-4355 | 2008-05-21 |
1699880773 | Ronald J Blevins | Otolaryngology | 2101 Jackson St Ste 115, Anderson, IN 46016-4386 | 2006-08-20 |
Find all providers in ANDERSON |
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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.