{"npi":"1083815112","type":"NPI-1","status":"active","name":{"display":"Dr. Chun Chan M.D.","other":[],"first":"CHUN","last":"CHAN","middle":"KUO","credential":"M.D."},"specialty":{"primary_taxonomy":"207L00000X","primary_taxonomy_description":"Anesthesiology","slug":"anesthesiology","schema_org_specialty":"Anesthesia","all":[{"code":"207L00000X","description":"Anesthesiology","primary":false,"state":"MS","license":"22692"},{"code":"207L00000X","description":"Anesthesiology","primary":false,"state":"TN","license":"47263"},{"code":"207L00000X","description":"Anesthesiology","primary":true,"state":"WI","license":"83661"}]},"addresses":[{"purpose":"LOCATION","street_1":"1265 UNION AVE","city":"MEMPHIS","state":"TN","postal_code":"381043415","country_code":"US","phone":"9017255846"},{"purpose":"MAILING","street_1":"6060 PRIMACY PKWY","city":"MEMPHIS","state":"TN","postal_code":"381195745","country_code":"US","street_2":"SUITE 241","phone":"9017255846"}],"license":{"state":"WI","number":"83661"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1083815112","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110713000407","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"TN","pac_id":"6204004583"},{"enrlmt_id":"I20130918000551","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"MS","pac_id":"6204004583"},{"enrlmt_id":"I20150211000182","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"AR","pac_id":"6204004583"},{"enrlmt_id":"I20240410001230","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"WI","pac_id":"6204004583"}]},"enumeration_date":"2007-05-29","last_updated":"2024-12-03","_meta":{"source":"NPPES","snapshot_date":"2024-12-03","doc_url":"https://findmynpi.com/api"}}