Organization Active NPI

Paulino Y. Chan, MD, Inc

  • Orthopaedic Surgery Physician
  • Munster, IN
National Provider Identifier
1790782472
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PAULINO Y. CHAN, MD, INC
Practice address
800 Macarthur Blvd
Ste 21
Munster, IN 46321-2918
Phone
(219) 836-1163
Fax
(219) 836-0588
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Paulino Y Chan, MDNPI 1396741864
Title
President
Phone
(219) 836-1163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X IN Primary

Addresses

Primary practice location

800 Macarthur Blvd
Ste 21
Munster, IN 46321-2918

Mailing address

800 Macarthur Blvd
Ste 21
Munster, IN 46321-2918
Phone (219) 836-1163

National Provider Directory

National Provider Directory

Locations

800 MacArthur Blvd
Ste 21
Munster, IN 46321
Phone (219) 836-1163

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790782472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MACARTHUR BLVD",
            "address_2": "STE 21",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212918",
            "telephone_number": "219-836-1163",
            "fax_number": "219-836-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MACARTHUR BLVD",
            "address_2": "STE 21",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212918",
            "telephone_number": "219-836-1163",
            "fax_number": "219-836-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINO Y. CHAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PAULINO",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-1163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.