Active NPI
Linda Chan, MD
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1740251958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23446
- Practice address
- 7600 S Lewis Ave
Tulsa, OK 74136-6836 - Phone
- (918) 493-7800
- Fax
- (918) 493-7888
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23446 | OK | Primary |
Addresses
Primary practice location
7600 S Lewis Ave
Tulsa, OK 74136-6836
Mailing address
1713 W 119TH St S
Jenks, OK 74037-4367
Phone (918) 296-3832
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23446 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740251958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 W 119TH ST S",
"city": "JENKS",
"state": "OK",
"postal_code": "740374367",
"telephone_number": "918-296-3832",
"fax_number": "918-493-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741366836",
"telephone_number": "918-493-7800",
"fax_number": "918-493-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "LINDA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "23446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.