TONY THIEN TANG (NPI# 1417040114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417040114 |
| Entity Type | Individual |
| Full Name | TONY THIEN TANG |
| Credential | M. D. |
| Practice Address |
4675 South Grand Blvd. St. Louis MO 63111 |
| Practice Telephone | 3147528600 |
| Practice Fax Number | 3147528601 |
| Mailing Telephone | 3147528600 |
| Mailing Fax Number | 3147528601 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
2003024222 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200519 | Tony Tang | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2020-06-17 |
| 1255571857 | Tony Tang | Chiropractor | 13801 Roswell Ave, Suite G, Chino, CA 91710-5466 | 2009-02-23 |
| Street Address |
4675 SOUTH GRAND BLVD. |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| 1467871137 | Theresa Drallmeier | Family Medicine | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2014-04-10 |
| Find all providers in zip 63111 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037875 | Visiting Physicians LLC | Internal Medicine | 108 E Green Meadows Rd Ste 3, Columbia, MO 65203-3633 | 2020-09-10 |
| 1023572690 | Specialist In Aging Successfully LLC | Internal Medicine | 12255 De Paul Dr Ste 260, Bridgeton, MO 63044-2510 | 2019-01-28 |
| 1023592946 | Institute of Medicine LLC | Internal Medicine | 6824 Balson Ave, Saint Louis, MO 63143-2603 | 2018-09-17 |
| 1104235241 | Generation Clinical Partners LLC | Internal Medicine | 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 | 2014-08-02 |
| 1477967883 | Medical Directors of The Ozarks LLC | Internal Medicine | 302 Veterans Blvd, Branson, MO 65616-2091 | 2014-06-13 |
| 1306133012 | Karen Markeisha Sobers | Internal Medicine | 901 Patients First Dr Ste 3881, Washington, MO 63090-4700 | 2011-07-01 |
| 1285881912 | Gopal K Nair, Md, PC | Internal Medicine | 1023 Arlington Oaks Ter, Chesterfield, MO 63017-5936 | 2008-08-25 |
| 1154577799 | Stanley Sharp Md Lc | Internal Medicine | 1310 Carondelet Dr Ste 230, Kansas City, MO 64114-4853 | 2008-08-14 |
| 1558563890 | Hassan Dawoud Elsiddig | Internal Medicine | 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 | 2007-05-31 |
| 1871795104 | Shehla Sadiq | Internal Medicine | 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 | 2007-05-31 |
| Find all providers with the same taxonomy | ||||
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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.