National Provider Identifier
Jon Michael Chan, M.D.
Jon Michael Chan, M.D. is listed in the NPPES registry with a primary specialty of Otolaryngology Physician in Buffalo, NY and a listed phone number of (614) 366-3687.
Profile Overview
- NPI
- 1053577924
- Provider Type
- Individual
- Primary Specialty
- Otolaryngology Physician
- Enumeration Date
- July 31, 2008
- Last Updated
- September 29, 2025
Practice Location
- 65 Oakland Pl
- Buffalo, NY 14222-2041
Phone: (614) 366-3687
Specialties
- Otolaryngology Physician (207Y00000X)
- Otolaryngology Physician (207Y00000X)
Endpoints
- jon.m.chan@upmcdirect.com
Direct Messaging Address | Pittsburgh, PA 15219
Full Record
- NPI
- 1053577924
- Entity Type
- Individual
- Last Name
- Chan
- First Name
- Jon
- Middle Name
- Michael
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 65 Oakland Pl
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-2041
- Mailing Country
- US
- Mailing Phone
- (614) 366-3687
- Practice Street Address
- 65 Oakland Pl
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-2041
- Practice Country
- US
- Practice Phone
- (614) 366-3687
- Enumeration Date
- July 31, 2008
- Last Updated
- September 29, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 29, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Otolaryngology Physician (207Y00000X), Otolaryngology Physician (207Y00000X)
- Other Identifiers
- PENDING (OH), 293812 (NY, Nys License)