PAUL H. CHAN MD PC
NPI 1114113578
Clinic/Center - Primary Care in Dothan, AL

Active since September 19, 2007
1800 FAIRVIEW AVE, SUITE 2, DOTHAN, AL 36301(334) 678-1400(334) 678-1432 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul H. Chan Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL H. CHAN MD PC (NPI 1114113578) is a healthcare organization registered as a primary care in Dothan, Alabama and active in the NPI registry since September 2007. The organization lists Glenda A Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114113578
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePAUL H. CHAN MD PC
Location Address1800 FAIRVIEW AVE, SUITE 2Dothan, AL 36301-3058
Mailing AddressPo Box 1525Dothan, AL 36302-1525 · (334) 678-1400 · Fax (334) 678-1432
Fax(334) 678-1432
Organization SubpartNo
Authorized OfficialGlenda A JonesOffice Manager · (334) 678-1400
Enumeration DateSeptember 19, 2007
Last NPPES UpdateDecember 23, 2014
NPI 1114113578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in AL · 13615
1800 FAIRVIEW AVE, Dothan, AL 36301

Other Identifiers 5

Medicaid529913350AL
Medicare PINK710AL
Medicare OSCAR/certification051512284AL
Medicare UPINC73148AL
OtherDE5059AL · Rrmc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1800 FAIRVIEW AVE, SUITE 1
DOTHAN, AL 36301
Internal Medicine
1800 FAIRVIEW AVE, SUITE 2
DOTHAN, AL 36301
Psychiatry & Neurology (Neurology)
1800 FAIRVIEW AVE, SUITE 1
DOTHAN, AL 36301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul H. Chan MD PC's NPI number?

The NPI number for Paul H. Chan MD PC is 1114113578. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Paul H. Chan MD PC located?

Paul H. Chan MD PC is located at 1800 Fairview Ave Suite 2, Dothan, AL 36301. The listed phone number is (334) 678-1400.

What is Paul H. Chan MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Paul H. Chan MD PC was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.