| John Chan, MD | |
|
2140 Smith St, Orange Park, FL 32073-5554 | |
| (904) 269-2140 | |
| (904) 264-3018 |
| Full Name | John Chan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2140 Smith St, Orange Park, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013178433 | NPI | - | NPPES |
| 016263600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101246006 (Virginia) | Secondary |
| 208000000X | Pediatrics | ME 123976 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Chan, MD Po Box 45443, Salt Lake City, UT 84145-0443 Ph: (904) 202-1032 | John Chan, MD 2140 Smith St, Orange Park, FL 32073-5554 Ph: (904) 269-2140 |
Ashley K Wright, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2140 Smith St, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-364-3018 | |
Mrs. Daya J Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave, Bldg 9, Orange Park, FL 32073 Phone: 904-264-1958 Fax: 904-264-1677 | |
Dr. Charles T Dellinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2140 Smith St, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-264-3018 | |
Mark D Bedard, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2140 Smith St, Credentialing Department, Orange Park, FL 32073 Phone: 904-269-2140 Fax: 904-264-3018 | |
Dr. Thomas Michael Hardin, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1555 Kingsley Ave, Suite 601, Orange Park, FL 32073 Phone: 904-264-0264 Fax: 904-278-0437 | |
Dr. Mohammad Hassan Aboushaar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1555 Kingsley Ave, Suite 601, Orange Park, FL 32073 Phone: 904-264-0264 Fax: 904-278-2437 |