JACK S. CHAN M.D. – NPI #1376741256
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

JACK CHAN is a physician located in LAS VEGAS, NV. NPPES has assigned the NPI number 1376741256 to JACK CHAN on July 03, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 6 years ago on Sep 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK CHAN below.

NPI Profile for
JACK S. CHAN

NPI Number
1376741256
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK S. CHAN
Credentials
M.D.
Primary location
1350 N TOWN CENTER DR UNIT 1033
LAS VEGAS, NV 89144-0577
Phone: (517) 899-5453 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Sep 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 WA MD60179402
207PE0004X
- Emergency Medicine / Emergency Medical Services		 MI 4301090230

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK CHAN is affiliated with the following medical group(s):
  • HOSPITAL
    • ALASKA REGIONAL HOSPITAL
      2801 DEBARR ROAD
      ANCHORAGE, AK 99508
    • FAIRBANKS MEMORIAL HOSPITAL
      1650 COWLES STREET
      FAIRBANKS, AK 99701
    • STARR REGIONAL MEDICAL CENTER ATHENS
      1114 W MADISON AVE
      ATHENS, TN 37371

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.