Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jon Michael Chan, MD

Individual provider Otolaryngology Physician · NPI 1053577924

Dr. Jon Michael Chan, MD is an Otolaryngology in Buffalo, New York. Qualified in 2008, 18 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, North Dakota, New York and Ohio and 1 more.

Years since qualifying
18
Licensed in
IL, ND, NY, OH, PA
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

65 Oakland Pl
Buffalo, NY 14222-2041
Phone: (614) 366-3687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3316 Patriot Ct, Herrin, IL 62948-3782 — (618) 993-0307
  • 300 W 10th Ave, Columbus, OH 43210-1280 — (614) 293-8074

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036.144383 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 35.120793 (OH)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 293812 (NY)
Otolaryngology Physician Taxonomy 207Y00000X · Licence MT193950 (PA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 23031 (ND)

Record details

NPI number1053577924
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2008
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address65 Oakland Pl, Buffalo, NY 14222-2041

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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