Organization Active NPI

Yung C. Chan, M.D. P.C.

  • Surgery Physician
  • Pulaski, VA
National Provider Identifier
1487969903
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
YUNG C. CHAN, M.D. P.C.
Practice address
101 1St St NW
Pulaski, VA 24301-5605
Phone
(540) 980-0550
Fax
(540) 980-5010
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Mrs. Carolyn P Gardner
Title
Insurance Clerk
Phone
(540) 980-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

101 1St St NW
Pulaski, VA 24301-5605

Mailing address

101 1St St NW
Pulaski, VA 24301-5605
Phone (540) 980-0550

Other names 1

  • Yung C. Chan, M.D. P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

101 1st St NW
Ste 2
Pulaski, VA 24301
Phone (540) 577-4882

101 1st St NW
Pulaski, VA 24301
Phone (276) 322-1800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1487969903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1ST ST NW",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015605",
            "telephone_number": "540-980-0550",
            "fax_number": "540-980-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST ST NW",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015605",
            "telephone_number": "540-980-0550",
            "fax_number": "540-980-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNG C. CHAN, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "540-980-0550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yung C. Chan, M.D. P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pulaski, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.