Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013178433 Individual Practitioner Male Practitioner

Dr. John Chan , MD

Pediatrics • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Chan, MD is a registered healthcare professional specializing in Pediatrics in Orange Park, FL. Practice services are available at 2140 SMITH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2140 Smith St

Orange Park, FL 320735554

Telephone 9042692140
Fax 9042643018
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Orange Park, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME 123976

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 0101246006

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
016263600 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1013406834

Doctor of Medicine (M.D.)

NPI 1114990157

Doctor of Medicine (M.D.)

NPI 1154649861

Doctor of Osteopathic Medicine (D.O.)

Dr. Rhonda Woolwine , MD

Pediatrics - Adolescent Medicine

NPI 1285607242

Doctor of Medicine (M.D.)

Mary Hanson , APRN

Nurse Practitioner

NPI 1437182144

Advanced Practice Registered Nurse

Dr. Richard Gehret , MD

Pediatrics - Adolescent Medicine

NPI 1528031127

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address December 24, 2018

Registered at PO BOX 45443, SALT LAKE CITY, UT 841450443 (Tel: 9042021032)

NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2016

Registered at 2140 SMITH ST, ORANGE PARK, FL 320735554 (Tel: 9042692140)

📍
Updated Business Mailing Address March 31, 2016

Registered at PO BOX 44004, JACKSONVILLE, FL 322314004 (Tel: 9042021032)

👤
Provider Name / Credentials Updated March 31, 2016

Recorded as JOHN CHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Pediatrics (License #ME 123976 in FL)

🟢
Initial NPI Registration & Enumeration June 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013178433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2008
Last Update: December 24, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 45443

Salt Lake City, UT 841450443

Phone: 9042021032

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.