DR. SHI-YU TAN (NPI# 1205098654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205098654 |
| Entity Type | Individual |
| Full Name | DR. SHI-YU TAN |
| Credential | MD |
| Practice Address |
3150 Packard Rd Ypsilanti MI 48197-1994 |
| Mailing Address |
3889 Mill Pond Ln Ann Arbor MI 48108-9413 |
| Practice Telephone | 7342767096 |
| Mailing Telephone | 7342767096 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301097627 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP1-0031849 | TX | Student, Health Care |
| Street Address |
3150 PACKARD RD |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538297965 | Jennifer Burger | Counselor | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2007-02-28 |
| 1356941660 | Jennifer Stein | Counselor | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2020-10-27 |
| 1790302479 | Liberty Ellis | Counselor | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2020-06-29 |
| 1255965059 | Zena Marie-concetta Ramsey | Counselor | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2020-03-02 |
| 1427427814 | Intentional Counseling Services | Community/Behavioral Health | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2015-09-16 |
| 1326291584 | Lincoln Home Health Services, LLC | Home Health | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2008-10-30 |
| 1790937571 | Tuscany Home Health Services LLC | Home Health | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2008-10-11 |
| 1679734461 | Visiting Physicians Associates PC | General Practice | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2008-06-24 |
| 1407017239 | Stacey Michelle Mack | Social Worker | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2008-06-24 |
| 1972621266 | Victoria Caridad Serbia | Psychiatry & Neurology | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982911830 | Heritage Medical Clinic Pplc | General Practice | 1159 E Michigan Ave Ste E, Ypsilanti, MI 48198-5807 | 2010-09-13 |
| 1023095296 | Zaheda Shafqat Ali | General Practice | 428 S Grove St, Ypsilanti, MI 48198-5662 | 2005-12-28 |
| 1851657365 | Adelina W Herrero Md Pllc | General Practice | 1159 E Michigan Ave Ste E, Ypsilanti, MI 48198-5807 | 2012-04-09 |
| 1740509116 | Physician Group | General Practice | 4870 W Clark Rd, Ste 100a, Ypsilanti, MI 48197-1104 | 2010-05-25 |
| 1821224908 | Home Care Medical Specialists Inc. | General Practice | 1159 E Michigan Ave, Suite E, Ypsilanti, MI 48198-5807 | 2009-06-03 |
| 1679734461 | Visiting Physicians Associates PC | General Practice | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2008-06-24 |
| 1851426183 | Kimberly Evans Keller | General Practice | University Health Services, Eastern Michigan University, Ypsilanti, MI 48197-2207 | 2007-02-23 |
| 1407991615 | Mohsen Djamali | General Practice | 4870 W Clark Rd, Suite 100a, Ypsilanti, MI 48197-1104 | 2007-02-21 |
| 1497779649 | Walayat A Khan | General Practice | 1159 E Michigan Ave, Ste E, Ypsilanti, MI 48198-5807 | 2006-07-27 |
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|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
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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.