OrganizationActive
Chan Park MD Inc
NPI 1104865849 · Family Medicine Physician · Slatersville, RI
Provider details
- NPI number
- 1104865849
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chan Park, Owner(401) 762-2728
- License
- MD5083 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
905 Victory Highway
Slatersville, RI 02876
Phone: (401) 762-2728
Fax: (401) 762-0473
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 177
Slatersville, RI 02876
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.