Rose Marie Chan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0026416 Issued in MD

Practice address

1500 Pennsylvania Ave
Hagerstown, MD 21742-3112

Phone

(301) 791-4400

Fax

(301) 739-8949

NPI assigned

Nov 9, 2005

Last updated

Sep 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rose Marie Sri Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Comptroller of Maryland Central Payroll Bureau

  dba Spring Grove Hospital Center

  • Psychiatric Hospital Unit
  • Catonsville, MD
  • NPI 1962493403
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1447231121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423112",
            "telephone_number": "301-791-4400",
            "fax_number": "301-739-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423112",
            "telephone_number": "301-791-4400",
            "fax_number": "301-739-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0026416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "SRI",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Michael Chado, OD
• Rajwinder Kaur Chahal
• Renee Colby Chalker, PT
• Ashika Chaluvadi, DO
• Maureen Courtenay Chamberlain, LCSW-C
• Samuel Chan, M.D.
• Taylore Chandler
• Chaney Counseling Services
• Beth Chaney, LCPC
• Charles Robert Chaney, M.D.

• General Practice Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.