NPIMap

Organization Active NPI

Johol C Chan DO PA

  • Obstetrics & Gynecology Physician
  • Laredo, TX
National Provider Identifier
1740456847
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K1389 Issued in TX
Legal business name
JOHOL C CHAN DO PA
Practice address
7210 McPherson Rd Ste 120
Laredo, TX 78041-6505
Phone
(956) 795-8236
Fax
(956) 718-6994
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Johol Cho-Hong Chan, DONPI 1902867187
Title
President
Phone
(956) 795-8236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X K1389 TX Primary

Addresses

Primary practice location

7210 McPherson Rd Ste 120
Laredo, TX 78041-6505

Mailing address

PO Box 450193
Laredo, TX 78045-0004
Phone (956) 795-8236

Other identifiers 2

IdentifierTypeStateIssuer
159242001MedicaidTX
D05769OtherTXPALMETTO GBA (MEDICARE RAILROAD)

National Provider Directory

National Provider Directory

Locations

7210 McPherson Rd
Ste 120
Laredo, TX 78041
Phone (956) 718-6966

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1740456847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450193",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450004",
            "telephone_number": "956-795-8236",
            "fax_number": "956-718-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD STE 120",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "956-795-8236",
            "fax_number": "956-718-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHOL C CHAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JOHOL",
        "authorized_official_middle_name": "CHO-HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-795-8236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K1389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159242001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA (MEDICARE RAILROAD)",
            "identifier": "D05769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.