DR. EMERSON TAN QUE (NPI# 1104862838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104862838 |
| Entity Type | Individual |
| Full Name | DR. EMERSON TAN QUE |
| Credential | MD |
| Practice Address |
211 S Chestnut St Suite 1 Clarksburg WV 26301-2832 |
| Mailing Address |
527 Medical Park Dr Ste 400 Bridgeport WV 26330-9010 |
| Practice Telephone | 3046245212 |
| Practice Fax Number | 3046235812 |
| Mailing Telephone | 6813423500 |
| Mailing Fax Number | 6813423507 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | C1-0008687 | DE | Other Service Providers |
| N | 173000000X | Legal Medicine | D0067034 | MD | Other Service Providers |
| Y | 207W00000X | Ophthalmology | 26518 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 414437600 | 05 |
| Street Address |
211 S CHESTNUT ST SUITE 1 |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972979474 | United Hospital Center, Inc. | Ophthalmology | 211 S Chestnut St, Clarksburg, WV 26301-2832 | 2015-08-19 |
| 1962690958 | Ghassan Richard Ghorayeb | Ophthalmology | 211 S Chestnut St, Clarksburg, WV 26301 | 2007-10-04 |
| 1093913840 | Saravut S Fung | Ophthalmology | 211 S Chestnut St, Clarksburg, WV 26301-2832 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063721629 | Clarksburg Medical Center Inc | Ophthalmology | 22616 Gateway Center Dr Ste 600a, Clarksburg, MD 20871 | 2010-09-30 |
| 1871681726 | Saravut S Fung Md Inc | Ophthalmology | 211 South Chestnut St, Clarksburg, WV 26301 | 2006-10-10 |
| 1972979474 | United Hospital Center, Inc. | Ophthalmology | 211 S Chestnut St, Clarksburg, WV 26301-2832 | 2015-08-19 |
| 1962690958 | Ghassan Richard Ghorayeb | Ophthalmology | 211 S Chestnut St, Clarksburg, WV 26301 | 2007-10-04 |
| 1093913840 | Saravut S Fung | Ophthalmology | 211 S Chestnut St, Clarksburg, WV 26301-2832 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446444 | Regional Eye Associates, Inc | Ophthalmology | 402 Medical Park Dr Ste 100, Weston, WV 26452-1678 | 2020-01-24 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1871971895 | Sumeet Gupta | Ophthalmology | 1 Medical Center Dr # 9193, Morgantown, WV 26506-1200 | 2015-05-11 |
| 1932471364 | Robert Lawrence Dunworth | Ophthalmology | 30 West Sixth Avenue, Suite 106, Huntington, WV 25701-1700 | 2012-02-01 |
| 1154627123 | Teays Eye Physicians and Surgeons, Pllc | Ophthalmology | 3859 Teays Valley Rd, Suite 2, Hurricane, WV 25526-9622 | 2011-02-08 |
| 1972813996 | Joseph Jefferds Sinclair Md Pllc | Ophthalmology | 500 Lee St E, Suite 150, Charleston, WV 25301-3200 | 2010-10-08 |
| 1487886628 | Moseley Hubbard Winkler | Ophthalmology | 105 Whispering Woods Rd, Charleston, WV 25304-2740 | 2009-08-21 |
| 1699939090 | Stephen H. Blaydes | Ophthalmology | 70 Brookshire Ln, Beckley, WV 25801-6765 | 2008-07-15 |
| 1801066410 | Regional Eye Associates, Inc. | Ophthalmology | 110 Cambridge Pl, Bridgeport, WV 26330-2812 | 2008-03-11 |
| 1932378502 | Robert Kenneth Scott II | Ophthalmology | 22 Coleman Drive, Lewisburg, WV 24901-8921 | 2008-02-27 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.