DR. GARY TAN (NPI# 1366734717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366734717 |
Entity Type | Individual |
Full Name | DR. GARY TAN |
Credential | D.O. |
Practice Address |
1 Ross Park Blvd Ste G-3 Steubenville OH 43952-2681 |
Mailing Address |
380 Summit Ave., Mso Physician Billing Steubenville OH 43952-2667 |
Practice Telephone | 7402665969 |
Practice Fax Number | 7402665970 |
Mailing Telephone | 7402837597 |
Mailing Fax Number | 7402837460 |
Enumeration Date | 2011-05-04 |
Last Update Date | 2020-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 34.012699 | OH | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 3182 | WV | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 12699 | OH | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 303775 | LA | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 25MB09553900 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0244510 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
Louisiana State University Health Sciences Center, 1501 Kings Hwy., Shreveport, LA 71130 | 3186755600 |
Street Address |
1 ROSS PARK BLVD STE G-3 |
City | STEUBENVILLE |
State | OH |
Zip Code | 43952-2681 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174814271 | Morisetty Medical Associates, Inc. | Internal Medicine | 1 Ross Park Blvd Ste G-3, Steubenville, OH 43952-2681 | 2011-04-22 |
1902443468 | Taylor Elizabeth Gamron | Nurse Practitioner | 1 Ross Park Blvd Ste G-3, Steubenville, OH 43952-2681 | 2019-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710506670 | Shyam Patel | Internal Medicine | 381 Summit Ave, Steubenville, OH 43952 | 2020-04-10 |
1629582929 | Caleb Michael Knorr | Counselor | 740 N. Sixth St., Steubenville, OH 43952 | 2017-11-22 |
1023565694 | Rebecca Antonelli | Case Manager/Care Coordinator | 3200 Johnson Rd., Steubenville, OH 43952 | 2016-09-01 |
1831502517 | Jack Lee Fluharty Jr. | Contractor | 1498 State Route 213, Steubenville, OH 43952 | 2014-06-10 |
1346519162 | Doyoung Choi | Dentist | 2203 Sunset Blvd, Steubenville, OH 43952 | 2011-12-22 |
1356584064 | Washington Healthcare Strategies, Inc. | Anesthesiology | 4000 Johnson Road, Steubenville, OH 43952 | 2009-04-10 |
1740431634 | Tamara Ann Skriba-guio | Counselor | 3200 Johnson Road, Steubenville, OH 43952 | 2008-10-09 |
1619125879 | Cynthia Ann Vaudrain | Counselor | 1235 Franciscan Way, Steubenville, OH 43952 | 2008-08-29 |
1083862361 | Christy A Magary Williams | Social Worker | 2700 Sunset Blvd Ste 13, Steubenville, OH 43952 | 2008-08-28 |
1730379389 | Michael J Hromanik | Orthopaedic Surgery | 4100 Johnson Rd Ste 102, Steubenville, OH 43952 | 2007-07-30 |
Find all providers in zip 43952 |
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 |
---|---|---|---|---|
1093162463 | Wmc Physician Practices LLC | Urology | 4100 Johnson Rd Ste 200, Steubenville, OH 43952-2372 | 2016-05-16 |
1356416507 | Dominic N Ferrera | Urology | 1 Ross Park Blvd Ste 103, Steubenville, OH 43952-2671 | 2006-11-22 |
1477560613 | Satbir Singh | Urology | 1524 Sunset Blvd Ste A, Steubenville, OH 43952-1380 | 2006-08-01 |
1932563046 | Wmc Physician Practices LLC | Urology | 4100 Johnson Rd Ste 101, Steubenville, OH 43952-2356 | 2016-04-06 |
1073502522 | Dominic N. Ferrera, Md, Inc. | Urology | 1 Ross Park Blvd, Suite 103, Steubenville, OH 43952-2671 | 2005-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
1023597143 | Rajiva Ranjan Singh | Urology | 3737 Southern Blvd., Suite 4200, Kettering, OH 45429-1262 | 2018-08-09 |
1194232876 | Nathan Ying-ho Hoy | Urology | 9500 Euclid Ave, Q10, Cleveland, OH 44195 | 2018-01-04 |
1982113197 | Alliance and Salem Urology LLC | Urology | 885 S Sawburg Ave Ste 105, Alliance, OH 44601-5905 | 2017-09-20 |
1447788468 | Robin Ann Houk | Urology | 95 Arch St Ste 165, Akron, OH 44304-1488 | 2017-06-03 |
1598216152 | Kings Daughters Medical Specialties Inc. | Urology | 1729 Kinneys Ln Ste 103, Portsmouth, OH 45662-3166 | 2016-10-19 |
1154783223 | Wmc Physician Practices LLC | Urology | 251 E Market Street, Cadiz, OH 43907 | 2016-03-28 |
1144607508 | Johnathan Doolittle | Urology | 2050 E 96th St Q Building, Cleveland, OH 44195-3548 | 2015-05-05 |
1073932091 | Eric Jacob Fichtenbaum | Urology | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2014-04-08 |
Find all providers with the same taxonomy |
City | STEUBENVILLE |
Zip Code | 43952 |
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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.