Clara S.P. Chan, MD, PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

D41828 Issued in MD

Legal business name

CLARA S.P. CHAN, MD, PC

Practice address

9801 Georgia Ave
Suite 337
Silver Spring, MD 20902-5276

Phone

(301) 681-4600

Fax

(301) 681-4648

NPI assigned

Nov 10, 2009

Last updated

Nov 10, 2009By 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

Clara S Chan, MDNPI 1952338592

Title

Physician

Phone

(301) 681-4600

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Clara Chan, M.D.

  • Hematology & Oncology Physician
  • Silver Spring, MD
  • NPI 1952338592

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1144557240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 337",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-681-4600",
            "fax_number": "301-681-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 337",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-681-4600",
            "fax_number": "301-681-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA S.P. CHAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-681-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D41828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083091700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "3000099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004140133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "5074",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "OC22CS",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "910976",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830006377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3601884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugenio Cid
• Jocelyn Cisneros
• Madigbe Cisse
• Mia Dawn Claiborne, CRNP
• Carolyn Elaine Clapp, MASSAGE THERAPIST
• Clarity Rose Mental Health and Wellness Center, PLLC
• Clarity Speech and Cognition, LLC
• Bailey A Clark
• Kayla Cierra Elaine Clark
• Maiya Yetunde Elon Clark, M.D.

• Hematology & Oncology Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Hematology & Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.