OrganizationActive
Timothy Chan DPM
NPI 1104329747 · Foot & Ankle Surgery Podiatrist · Weeki Wachee, FL
Provider details
- NPI number
- 1104329747
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Chan, Owner(863) 273-8190
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11375 Cortez Blvd
Weeki Wachee, FL 34613-5409
Phone: (352) 596-6632
Street-level locationGet directions
Mailing address
12180 28th St N
St Petersburg, FL 33716-1820
Registry dates
- Enumerated
- 2018-03-09
- Last updated
- 2018-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.