Keith Ted Chan (NPI# 1295001972, PAC ID# 3870813173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1295001972 |
| PAC ID by PECOS | 3870813173 |
| Professional Enrollment ID | I20170706002789 |
| Full Name | Keith Ted Chan |
| Organization Legal Name | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| Address |
400 S 43rd St Valley Medical Center Renton WA 98055-5714 |
| Phone Number | 4256565550 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8224937917 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500088 | VALLEY MEDICAL CENTER |
| 500015 | MULTICARE AUBURN MEDICAL CENTER |
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 | 4256565550 | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| Organization Legal Name | VANTAGE RADIOLOGY AND DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES COR |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane A Rassman | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 |
| Janet J Silbergeld | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 1041 116th Neave, Bellevue, WA 98004-4604 |
| Michael R Nelsen | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 202 N Division St Plaza One, Auburn Reg Med Ctr, Auburn, WA 98001-4939 |
| Jacob A Thomas | Interventional Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Samuel Chao | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Jason K Mann | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Steven E Scallon | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Hong T Nguyen | Physician Assistant | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| John S Bowen | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Susan M Balich | Diagnostic Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Street Address |
400 S 43RD ST VALLEY MEDICAL CENTER |
| City | RENTON |
| State | WA |
| Zip | 98055-5714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Marie Alexander | Emergency Medicine | Associated Emergency Room Physicians Inc Ps | 400 S 43rd St, Renton, WA 98055-5714 |
| Christopher A Bellotti | Pediatric Medicine | Pediatrix Cardiology of Washington PC | 400 S 43rd St, Renton, WA 98055-5714 |
| Cecilia A Baumann | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia Associates, Pllc | 400 S 43rd St, Renton, WA 98055-5714 |
| Ichiro Otsu | Anesthesiology | Valley Anesthesia Associates, Pllc | 400 S 43rd St, Renton, WA 98055-5714 |
| Jacob A Thomas | Interventional Radiology | Vantage Radiology and Diagnostic Services, A Professional Services Cor | 400 S 43rd St, Valley Medical Center, Renton, WA 98055-5714 |
| Tara Kay Martin | Emergency Medicine | Associated Emergency Room Physicians Inc Ps | 400 S 43rd St, Renton, WA 98055-5714 |
| Mikyung Chung | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia Associates, Pllc | 400 S 43rd St, Renton, WA 98055-5714 |
| Nicole Elise | Nurse Practitioner | Valley Medical Group-renton | 400 S 43rd St, Renton, WA 98055-5714 |
| Rian Fisher | Emergency Medicine | Associated Emergency Room Physicians Inc Ps | 400 S 43rd St, Renton, WA 98055-5714 |
| Kathryn Mills | Hospitalist | Valley Medical Group-renton | 400 S 43rd St, Renton, WA 98055-5714 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard B Miller | Family Medicine | 920 N 1st St, Renton, WA 98055-1759 | |
| Jeffrey S Petett | Chiropractic | 10622 Se Carr Rd A, Renton, WA 98055-5406 | |
| Kurt R Sherwood | Chiropractic | 16810 108th Ave Se, Renton, WA 98055-5413 | |
| Abigail Longner | Chiropractic | Sherwood Family Chiropractic, P.s. | 16810 108th Ave Se, Renton, WA 98055-5413 |
| Zainab A Gaal-weber | Nurse Practitioner | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 530, Renton, WA 98055-5700 |
| Alison Louise Ryan | Nurse Practitioner | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 470, Renton, WA 98055-5700 |
| Eric T Waterman | Otolaryngology | 4033 Talbot Rd S, Suite 230, Renton, WA 98055-5700 | |
| Ron Swensen | Gynecological Oncology | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 530, Renton, WA 98055-5700 |
| Kristen M Oulton | Qualified Audiologist | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 540, Renton, WA 98055-5700 |
| Michael K Hori | Internal Medicine | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 570, Renton, WA 98055-5700 |
| Find all physicians in zip 98055 | |||
| City | RENTON |
| Zip Code | 98055 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | RENTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Keith Ted Chan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.