XISHI TAN (NPI# 1285955591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285955591 |
| Entity Type | Individual |
| Full Name | XISHI TAN |
| Other Name | JAMES TAN |
| Credential | M.D. |
| Practice Address |
18220 State Highway 249 Ste 400 Houston TX 77070 |
| Mailing Address |
18220 State Highway 249 Ste 400 Houston TX 77070-4349 |
| Practice Telephone | 2817370930 |
| Mailing Telephone | 2817370930 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | BP10036870 | TX | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | Q5578 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 361617901 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Baylor Plz, 404d, Houston, TX 770303411 | 7137988629 |
| Street Address |
18220 STATE HIGHWAY 249 STE 400 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790847374 | Julie Romo-fritz | Family Medicine | 18220 State Highway 249 Ste 400, Houston, TX 77070-4349 | 2006-12-13 |
| 1023677556 | Leah Elise Browne | Nurse Practitioner | 18220 State Highway 249 Ste 400, Houston, TX 77070 | 2019-06-09 |
| 1629432570 | Johnny Shih | Internal Medicine | 18220 State Highway 249 Ste 400, Houston, TX 77070-4349 | 2016-04-07 |
| 1154728392 | Quinton Gemyle Bijou | Nurse Practitioner | 18220 State Highway 249 Ste 400, Houston, TX 77070-4349 | 2014-12-03 |
| 1982954541 | Michele Hernandez | Nurse Practitioner | 18220 State Highway 249 Ste 400, Houston, TX 77070 | 2012-09-11 |
| 1710286935 | Windsen Kuo Pan | Internal Medicine | 18220 State Highway 249 Ste 400, Houston, TX 77070 | 2011-03-28 |
| 1952600637 | Minesh Desai | Internal Medicine | 18220 State Highway 249 Ste 400, Houston, TX 77070-4349 | 2011-03-21 |
| 1245543578 | Zubair Mirza | Internal Medicine | 18220 State Highway 249 Ste 400, Houston, TX 77070 | 2010-07-15 |
| 1124222799 | Thomas Tran Hoang | Urology | 18220 State Highway 249 Ste 400, Houston, TX 77070-4349 | 2007-06-14 |
| 1568666485 | Douglas R Bree | Internal Medicine | 18220 State Highway 249 Ste 400, Houston, TX 77070-4349 | 2007-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1922425230 | Boston Medical Group - Texas, P.a. | Urology | 1776 Yorktown St Ste 110, Houston, TX 77056-4138 | 2014-03-25 |
| 1902232846 | Hajar Ayoub | Urology | 6410 Fannin St Ste 420, Uthealth Urology Physicians, Houston, TX 77030-3007 | 2013-09-24 |
| 1326389941 | Harvey Lawrence Gordon | Urology | 1401 Calumet St, Unit #512, Houston, TX 77004-7157 | 2013-03-06 |
| 1619230869 | Jonathan Clavell Hernandez | Urology | 1315 St Joseph Pkwy Ste 1700, Houston, TX 77002-8232 | 2012-06-22 |
| 1528327715 | Alberto Christian Pieretti | Urology | 1515 Holcombe Blvd Unit 1373, Houston, TX 77030-4000 | 2012-05-09 |
| 1437417490 | Demetrio Tagaropules M.d., P.a. | Urology | 820 Richmond Ave, Houston, TX 77006-5514 | 2012-04-27 |
| 1831469428 | John Mathis Baird | Urology | 1201bering Dr., #75, Houston, TX 77057-2308 | 2012-01-12 |
| 1043540149 | Kumaran Sathyamoorthy | Urology | 2204 Bellefontaine St, Houston, TX 77030-3202 | 2010-01-12 |
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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.