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

J. Jack Chan, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1053314245

J. Jack Chan, DO is an Obstetrics & Gynecology Physician in Athens, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

86 Columbus Rd Ste 203
Athens, OH 45701-1331
Phone: (740) 594-2624
Fax: (740) 594-7333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 34005890 (OH)

Record details

NPI number1053314245
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESMay 19, 2009
Mailing address86 Columbus Rd, Suite 203, Athens, OH 45701-1300

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