Alfred H Chan, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD00019718 Issued in WA

Practice address

6323 111TH St SW
Lakewood, WA 98499-1303

Phone

(253) 445-6613

Fax

(253) 582-9172

NPI assigned

Jun 30, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Alfred H Chan MD PC

  • Specialist
  • Lakewood, WA
  • NPI 1356515548
  NPD (past) Authorized official

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265461768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 111TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991303",
            "telephone_number": "253-445-6613",
            "fax_number": "253-582-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 111TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991303",
            "telephone_number": "253-445-6613",
            "fax_number": "253-582-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ALFRED",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00019718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE ID NUMBER",
            "identifier": "CH5285",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105063",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES ID NUM",
            "identifier": "91836",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regine Flore Chachat
• Japinderjit K Chahal
• Emily Annabel Chambers, CCC-SLP
• Joshua Chambers
• Champion Wellness, Inc. (Champion Wellness & Psychiatry)
• Emma Chan
• Maggie Chan, DPT
• Ahyoung Chang
• Hui K Chang, RPH
• Logan Chang

• Hematology & Oncology Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Hematology & Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.