Organization Active NPI

Island Surgical Care, Inc.

Doing business as Rose S.M. Chan, M.D.

  • Surgery Physician
  • Key West, FL
National Provider Identifier
1275822496
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ISLAND SURGICAL CARE, INC.
Doing business as
Rose S.M. Chan, M.D.
Practice address
3845 Seaside Dr
Suite 101
Key West, FL 33040-5296
Phone
(305) 292-5812
Fax
(305) 292-5815
NPI assigned
Mar 29, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Siu-Mei Chan, M.D.
Title
President
Phone
(305) 292-5812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

3845 Seaside Dr
Suite 101
Key West, FL 33040-5296

Mailing address

3845 Seaside Dr
Suite 101
Key West, FL 33040-5296
Phone (305) 292-5812

Other names 1

  • Rose S.M. Chan, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Kennedy Dr
Ste 1028
Key West, FL 33040
Phone (305) 292-5812

3845 Seaside Dr
Ste 101
Key West, FL 33040
Phone (305) 292-5812

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1275822496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 SEASIDE DR",
            "address_2": "SUITE 101",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405296",
            "telephone_number": "305-292-5812",
            "fax_number": "305-292-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 SEASIDE DR",
            "address_2": "SUITE 101",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405296",
            "telephone_number": "305-292-5812",
            "fax_number": "305-292-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SURGICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SIU-MEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-292-5812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose S.M. Chan, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.