TERRY MARIE TAN (NPI# 1285666818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285666818 |
| Entity Type | Individual |
| Full Name | TERRY MARIE TAN |
| Credential | DPM |
| Practice Address |
711 Maiden Choice Ln Baltimore MD 21228-3632 |
| Mailing Address |
5525 Research Park Dr 4th Floor Baltimore MD 21228-4873 |
| Practice Telephone | 4102475602 |
| Practice Fax Number | 4102421756 |
| Mailing Telephone | 4102475602 |
| Mailing Fax Number | 4102421756 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 01320 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST | 0045 | 01 | |
| MD | 008203102 | 05 | |
| MD | 008203101 | 05 | |
| CAREFIRST BCBS OF MD | 0943ER-610595-07 | 01 | |
| CAREFIRST BCBS OF MD | 138CER-610595-07 | 01 | |
| MD | 008203100 | 05 | |
| EVERCARE | 2701161 | 01 | |
| BCBS MD | 610595-07 | 01 |
| Street Address |
711 MAIDEN CHOICE LN |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937329 | Ann Marie Butterworth | Nurse Practitioner | 711 Maiden Choice Ln, Baltimore, MD 21228-3632 | 2005-10-21 |
| 1851497333 | Main Street Pharmacy, LLC | Pharmacy | 711 Maiden Choice Ln, Baltimore, MD 21228-3632 | 2006-09-15 |
| 1568438208 | James Evans | Family Medicine | 711 Maiden Choice Ln, Baltimore, MD 21228-3632 | 2006-02-23 |
| 1548235336 | Brian Sharkey | Nurse Practitioner | 711 Maiden Choice Ln, Baltimore, MD 21228-3632 | 2006-02-23 |
| 1265407068 | Marie Mccarthy | Clinical Nurse Specialist | 711 Maiden Choice Ln, Baltimore, MD 21228-3632 | 2006-02-23 |
| 1881669687 | Daina Buivys | Clinical Nurse Specialist | 711 Maiden Choice Ln, Baltimore, MD 21228-3632 | 2006-02-23 |
| 1134194939 | Deneen Bowlin | Internal Medicine | 711 Maiden Choice Ln, Baltimore, MD 21228-3632 | 2006-02-23 |
| 1073588596 | Myla Carpenter | Internal Medicine | 711 Maiden Choice Ln, Baltimore, MD 21228-3632 | 2006-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342236 | Podiatry Associates, P.a. | Podiatrist | 9403 Harford Rd Ste 5, Baltimore, MD 21234-3123 | 2020-09-24 |
| 1063029114 | Podiatry Associates, P.a. | Podiatrist | 404 Eastern Blvd Ste 1, Baltimore, MD 21221-6748 | 2020-09-23 |
| 1114558681 | Podiatry Associates, P.a. | Podiatrist | 7131 Liberty Rd Ste 100, Baltimore, MD 21207-4580 | 2020-02-03 |
| 1306222138 | Affiliated Podiatrists Pa | Podiatrist | 1625 E Fort Ave, Baltimore, MD 21230-5245 | 2015-08-04 |
| 1154764207 | Tiffany Kit Hoh | Podiatrist | 5601 Loch Raven Blvd # 101, Baltimore, MD 21239-2945 | 2013-04-09 |
| 1154612158 | Advance Foot Care and Medical Services,llc | Podiatrist | 4801 Liberty Heights Ave, Baltimore, MD 21207-7157 | 2011-04-25 |
| 1215255120 | First Step Health Systems LLC | Podiatrist | 2305 N Charles St, Baltimore, MD 21218-5128 | 2010-05-17 |
| 1578739777 | Alan J Kleiman Dpm Pa | Podiatrist | 839 West 36th Street, Baltimore, MD 21211-2508 | 2008-05-07 |
| 1114116498 | Joseph E Dove | Podiatrist | 4201 Belmar Ave, Baltimore, MD 21206-1900 | 2007-10-23 |
| 1962614586 | Edward S. Sibel, D.p.m. | Podiatrist | 406 Eastern Blvd, Baltimore, MD 21221-6714 | 2007-05-04 |
| Find all providers in BALTIMORE | ||||
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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.