KEN CHAN (NPI# 1972063832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972063832 |
| Entity Type | Individual |
| Full Name | KEN CHAN |
| Credential | DO |
| Practice Address |
3616 195th St # 3f Flushing NY 11358-4015 |
| Practice Telephone | 7173502267 |
| Mailing Telephone | 7173502267 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720632136 | Ken Yu Ki Chan | Nurse Practitioner | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-25 |
| 1215124342 | Ken S. Chan | Dentist | 1176 Olivewood Dr, Merced, CA 95348-1210 | 2007-10-03 |
| Street Address |
3616 195TH ST # 3F |
| City | FLUSHING |
| State | NY |
| Zip Code | 11358-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508485269 | Jeong Seo | Acupuncturist | 163-26 Northern Blvd, Flushing, Flushing, NY 11358 | 2020-04-13 |
| 1447886510 | Leemaster Corp | Durable Medical Equipment & Medical Supplies | 163-15 Northern Blvd., Unit 2, Flushing, NY 11358 | 2020-03-20 |
| 1912541517 | Myeong R. Choi Acupuncture P.C. | Acupuncturist | 164-10 Crocheron Avenue, Flushing, NY 11358 | 2019-11-06 |
| 1417512203 | Jaekwan Lee | Physical Therapist | 4362 162nd Street, 2nd Floor, Flushing, NY 11358 | 2019-05-07 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1720575756 | Function Integrate Physical Therapy, P.C. | Clinic/Center | 42-10 164th Street, Flushing, NY 11358 | 2018-04-16 |
| 1275055402 | Alexandra Sara Miller | Registered Nurse | 43-43 166th Street, Flushing, NY 11358 | 2017-07-10 |
| 1245750520 | Seongrak Kang | Physical Therapist | 42-12 164th St 1fl, Flushing, NY 11358 | 2017-06-27 |
| 1306366851 | Margaret O'neill | Registered Nurse | 17209 Crocheron Ave C4, Flushing, NY 11358 | 2017-06-26 |
| 1063957280 | Joel Choi | Specialist/Technologist | 3636 166th St, 2nd Fl, Flushing, NY 11358 | 2016-12-24 |
| Find all providers in zip 11358 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946745 | Alexandra Zariffeh | Student in an Organized Health Care Education/Training Program | 4415 Colden St Apt 4s, Flushing, NY 11355-4007 | 2020-09-10 |
| 1013520212 | Kalliopi Konstantinopoulou | Student in an Organized Health Care Education/Training Program | 14060 Beech Ave Apt 3s, Flushing, NY 11355-2833 | 2020-08-26 |
| 1922611359 | Jamele Chiao | Student in an Organized Health Care Education/Training Program | 13454 Maple Ave Apt 5l, Flushing, NY 11355-4539 | 2020-08-25 |
| 1790307064 | Shari B. Miller | Student in an Organized Health Care Education/Training Program | 14110 70th Ave Apt 2, Flushing, NY 11367-1928 | 2020-05-10 |
| 1184245300 | Moisey Fazylov | Student in an Organized Health Care Education/Training Program | 8519 65th Ave, Flushing, NY 11374-5039 | 2020-04-28 |
| 1528688728 | Tashalee Shanice Mcgrath-blagrove | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd Bldg Ste 410, Flushing, NY 11355-2205 | 2020-04-17 |
| 1508495672 | Sarah Y Kim | Student in an Organized Health Care Education/Training Program | 13105 40th Rd Apt Ph3c, Flushing, NY 11354-5188 | 2020-04-02 |
| 1871122812 | Kwang Kim | Student in an Organized Health Care Education/Training Program | 16201 Northern Blvd # 790, Flushing, NY 11358-1634 | 2020-04-02 |
| 1528696820 | Rovena Pjetergjoka | Student in an Organized Health Care Education/Training Program | 13855 78th Dr, Flushing, NY 11367-3237 | 2020-03-31 |
| 1710514112 | Syed Zia Ullah | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Queens 56-45 Main Street Flushing, Flushing, NY 11355-1135 | 2020-03-25 |
| Find all providers in FLUSHING | ||||
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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.