Tony Chan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106860 Issued in FL

Practice address

1500 Lee Blvd
Lehigh Acres, FL 33936-4835

Phone

(800) 507-8874

Fax

(727) 536-2896

NPI assigned

Dec 12, 2012

Last updated

Dec 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment Care Compare group
• Medexpress Urgent Care of Boynton Beach, LLC

  dba MedExpress Urgent Care - Boynton Beach

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1366544728
  Medicare reassignment NPD
• Adventist Health System Sunbelt, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610
  Medicare reassignment
• Dwic of Tampa Bay, Inc.

  dba MedExpress Urgent Care - Clearwater

  • Urgent Care Clinic/Center
  • Clearwater, FL
  • NPI 1780633834
  Medicare reassignment
• Adventist Health System/ Sunbelt, Inc.

  dba AdventHealth Centra Care - Southern Trace

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Physician Assistant

  NPD
• Adventist Health System/Sunbelt, Inc.

  dba AdventHealth Centra Care -S. Orange

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1538579685

  Physician Assistant

  NPD
• Dwic of Tampa Bay, Inc

  dba MedExpress Urgent Care - North Port, Tuscola Blvd

  • Urgent Care Clinic/Center
  • North Port, FL
  • NPI 1871941815
  NPD
• Dwic of Tampa Bay, Inc.

  dba MedExpress Urgent Care - Northside

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1023067220
  NPD
• MD Now Medical Centers Inc

  dba MD Now Urgent Care

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD
• Medexpress Urgent Care of Boynton Beach, LLC

  dba MedExpress Urgent Care - Boca Raton

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1245506807
  NPD
• Dwic of Tampa Bay, Inc

  dba MedExpress Urgent Care - Hudson, State Road 52

  • Urgent Care Clinic/Center
  • Hudson, FL
  • NPI 1598132490
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1376592063
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1689910036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8697",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191018697",
            "telephone_number": "800-507-8874",
            "fax_number": "727-536-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364835",
            "telephone_number": "800-507-8874",
            "fax_number": "727-536-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "TONY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cerra Colina
• Jasmin Cerrillo, RBT
• Dayani Cervantes
• Leyanis Cespedes Henriquez
• Sini Chacko, RN
• Guillermo S Chang Licea, APRN
• Gissel Chang
• Chanun Park DO PA
• Ada Charleus
• Yaneisi Chaviano

• Physician Assistant in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.