Estela L Chan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14917 Issued in NE

Practice address

145 W 3Rd Ave
Red Cloud, NE 68970-2542

Phone

(402) 746-3646

Fax

(402) 746-3519

NPI assigned

Aug 20, 2006

Last updated

Jul 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Estela L Chan MD Clinic

  • Durable Medical Equipment & Medical Supplies
  • Red Cloud, NE
  • NPI 1215191093
  NPD (past) Authorized official
• Webster County Community Hospital

  dba Webster County Community Hospital RHC

  • Rural Health Clinic/Center
  • Blue Hill, NE
  • NPI 1184934424
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1942315023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 3RD AVE",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689702542",
            "telephone_number": "402-746-3646",
            "fax_number": "402-746-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 3RD AVE",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689702542",
            "telephone_number": "402-746-3646",
            "fax_number": "402-746-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ESTELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "14917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36303170800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Christine Beam, APRN
• Burgess Counseling & Mediation Services
• Karla J Burgess, LMHP, LPC
• Cherry Corner Estates
• County Medical Services Inc. (Main Street Medical Clinic)
• County of Webster County Clerk (Webster County Ambulance Service)
• Amberlynn Ekstein
• Estela L Chan MD Clinic

• General Practice Physician in Red Cloud, NE
• Providers in Red Cloud, NE by specialty
• General Practice Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.