Chung Ming Chan, M.B.,B.S.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME118688 Issued in FL

Practice address

3450 Hull Rd
Box 112727
Gainesville, FL 32607-4144

Phone

(352) 273-7001

NPI assigned

Aug 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1639301641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 NW 13TH ST",
            "address_2": "PMB 251",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 HULL RD",
            "address_2": "BOX 112727",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074144",
            "telephone_number": "352-273-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHUNG MING",
        "credential": "M.B.,B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME118688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "JA171Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021309100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Lee Chambers, LMHC
• Caleb Chambliss
• Gene Sophia Chambliss
• Michael Chami, MD
• Albert Ka-Ming Chan, M.D.
• Jason Lloyd Chan, MD, PHD
• Jay Chan, M.D.
• Julie Lynn Chan, M.D., PH.D.
• Kyle Hui-Yang Chan
• Wai-Yan J Chan, PA-C

• Orthopaedic Surgery Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.