Active NPI
Michael Alan Chan, MD
- Psychiatry Physician
- Columbus, OH
National Provider Identifier
1689614851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35058032
- Practice address
- 750 Mount Carmel Mall
Suite 220
Columbus, OH 43222-1553 - Phone
- (614) 234-2970
- Fax
- (614) 234-2977
- NPI assigned
- Jun 7, 2006
- Last updated
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35058032 | OH | Primary |
Addresses
Primary practice location
750 Mount Carmel Mall
Suite 220
Columbus, OH 43222-1553
Mailing address
PO Box 951144
Cleveland, OH 44193
Phone (614) 546-4400
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Mount Carmel Health | Past | Accepting new patients | |
| Mount Carmel Health Providers Two LLC | Psychiatry | Past | Accepting new patients |
| Mount Carmel Healthproviders Two LLC | Past | Accepting new patients |
Interoperability endpoints
- michaelchan@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
dba Mt. Carmel Family Practice
- Family Medicine Physician
- Westerville, OH
- NPI 1184646705
-
dba Psychiatry Providers at Mount Carmel
- Psychiatry Physician
- Columbus, OH
- NPI 1306013768
-
dba Mount Carmel Breast Surgery at West
- Surgery Physician
- Columbus, OH
- NPI 1528203981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1689614851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 951144",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44193",
"telephone_number": "614-546-4400",
"fax_number": "614-546-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MOUNT CARMEL MALL",
"address_2": "SUITE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221553",
"telephone_number": "614-234-2970",
"fax_number": "614-234-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35058032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.