JENNIFER PHAN


Address: 3113 N Broadway Street, Anderson, IN 46012-1261
Phone: 7652984660

JENNIFER PHAN (NPI# 1861621880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 11014885A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN RR MEDICARE P01723972 01
IN 201110020 05

Other Providers JENNIFER PHAN

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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

Office Location

Street Address 3113 N BROADWAY STREET
City ANDERSON
State IN
Zip Code 46012-1261

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447570320 Kia Renee Jones Otolaryngology 3113 N Broadway Street, Anderson, IN 46012-1261 2010-06-02

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City ANDERSON
Zip Code 46012

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Dataset Information

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.

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