Pachie Chan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6286 Issued in TX

Practice address

19073 Interstate 45 S
Suite 115
Conroe, TX 77385-8743

Phone

(936) 271-2227

Fax

(936) 271-2229

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fadi G. Ghanem, MD PA

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1386868875
  NPD (past)
• MFC Medsurg Group LLC

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1811338981
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1164524427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19073 INTERSTATE 45 S",
            "address_2": "SUITE 115",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773858743",
            "telephone_number": "936-271-2227",
            "fax_number": "936-271-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19073 INTERSTATE 45 S",
            "address_2": "SUITE 115",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773858743",
            "telephone_number": "936-271-2227",
            "fax_number": "936-271-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PACHIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544579003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cesar F. Yabar M.D P.a
• Elizabeth Chacko
• Cherie Leeann Chadwick, LPC, LCDC
• Johnathan Mark Chambers
• Jacquelyn Chan, OD
• Annabel Chang, MD
• June-Chieh Chang, M.D.
• Shih Min Chang, MS, RD, LD.
• Victor Yonguor Chang, MD
• Chapman Pain Consultants

• Family Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.