Active NPI
Stanley Uy Chan, M.D.
- Diagnostic Radiology Physician
- Darby, PA
National Provider Identifier
1295821882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD434219
- Practice address
- 1500 Lansdowne Ave
Darby, PA 19023-1200 - Phone
- (610) 237-4814
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2003012945 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | MD434219 | PA | Primary |
Addresses
Primary practice location
1500 Lansdowne Ave
Darby, PA 19023-1200
Mailing address
1500 Chestnut St
Apt #6C
Philadelphia, PA 19102-2737
Phone (314) 853-3123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003012945 | MO | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1295821882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CHESTNUT ST",
"address_2": "APT #6C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022737",
"telephone_number": "314-853-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LANSDOWNE AVE",
"city": "DARBY",
"state": "PA",
"postal_code": "190231200",
"telephone_number": "610-237-4814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "STANLEY",
"middle_name": "UY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2003012945",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD434219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.