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

Dr. Timothy Chan I, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1790955367

Dr. Timothy Chan I, DPM is a Podiatry in Tacoma, Washington. Qualified in 2003, 23 years ago. Practices with Ryan K Anderson D P M P C, a 51-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
23
Licensed in
NM
In the registry since
2008
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-1954
Phone: (253) 968-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD416 (NM)

Record details

NPI number1790955367
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 10, 2008
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ryan K Anderson D P M P C — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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