Chan S Han MD PA

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

04-15718 Issued in KS

Legal business name

CHAN S HAN MD PA

Doing business as

Dhan S Han MD

Practice address

908 Siggins St
Coffeyville, KS 67337-2921

Phone

(620) 251-1560

Fax

(620) 251-8144

NPI assigned

Dec 5, 2011

Last updated

Dec 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chan S Han, MD PANPI 1568468429

Title

Owner

Phone

(620) 251-1560

Specialties & licenses 1

Addresses

Other names 1

• Dhan S Han MD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chan S Han, MD

  • Specialist
  • Coffeyville, KS
  • NPI 1568468429
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1053689133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 SIGGINS ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673372921",
            "telephone_number": "620-251-1560",
            "fax_number": "620-251-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SIGGINS ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673372921",
            "telephone_number": "620-251-1560",
            "fax_number": "620-251-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN S HAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "CHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-251-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "KS",
            "license": "04-15718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dhan S Han MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logan Michael Bustos, CRNA
• Tammie Byrd
• Lisa Cagle
• James M Carver, MD
• Mary Ann Casebeer, ARNP CNS
• Daniel H Chappell, M.D.
• James Leroy Christensen, D.O.
• McKenzie Clay
• Coffeyville Chiropractic
• Coffeyville Doctors Clinic P a

• Exclusive Provider Organization in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Exclusive Provider Organization in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.