Active NPI
Island Surgical Care, Inc.
Doing business as Rose S.M. Chan, M.D.
- Surgery Physician
- Key West, FL
National Provider Identifier
1275822496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.