J. JACK CHAN (D.O.) – Obstetrics & Gynecology Physician, NPI 1053314245

J. JACK CHAN (D.O.) is a healthcare provider. based in Athens, Ohio. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials D.O.. They hold a License No. 34005890 (OH). The NPI Number for J. JACK CHAN (D.O.) is 1053314245

Main info

Male
Name
J. JACK CHAN (D.O.)
NPI
1053314245
Phone
(740) 594-2624
Address
86 COLUMBUS RD
Enumeration Date
23 May 2005
Last Update Date
19 May 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for J. JACK CHAN (D.O.)

  • Columbus Road, Athens, Athens County, Ohio, 45780, United States

    SUITE 203

    ATHENS, OH 457011300

    Phone: (740) 594-2624

    Fax: (740) 594-7333

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45701)

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Frequently asked questions

How is J. JACK CHAN (D.O.) identified in CMS data?
CMS-hosted NPPES data lists J. JACK CHAN (D.O.) with NPI 1053314245.
Does CMS list J. JACK CHAN (D.O.) as active?
Yes — J. JACK CHAN (D.O.) is active in the NPI listing used on this page.
What is J. JACK CHAN (D.O.) best known for clinically?
Directory data describes J. JACK CHAN (D.O.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect J. JACK CHAN (D.O.) on a map?
Expect Athens, Ohio as a primary anchor for J. JACK CHAN (D.O.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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