DR. TAI CHI SHAN (NPI# 1518025410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518025410 |
| Entity Type | Individual |
| Full Name | DR. TAI CHI SHAN |
| Credential | MD |
| Practice Address |
501 North Frederick Avenue Gaithersburg MD 20877-2598 |
| Mailing Address |
2201 East Jefferson Street Ppqa Medicare Compliance Unit 6 Rockville MD 20852-4908 |
| Practice Telephone | 3012587203 |
| Practice Fax Number | 3012587294 |
| Mailing Telephone | 3018166660 |
| Mailing Fax Number | 3018166308 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
MD17409 | DC | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
0101042637 | VA | Eye and Vision Services Providers |
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
D45187 | MD | Eye and Vision Services Providers |
| Street Address |
501 NORTH FREDERICK AVENUE |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265519672 | Leszek Karowiec | Internal Medicine | 501 North Frederick Avenue, Gaithersburg, MD 20877-2598 | 2006-11-01 |
| 1316073265 | Linda Anne Benson | Internal Medicine | 501 North Frederick Avenue, Gaithersburg, MD 20877 | 2007-02-26 |
| 1336287374 | Jennifer Lopkin Offer | Pediatrics | 501 North Frederick Avenue, Gaithersburg, MD 20877 | 2007-02-02 |
| 1922176932 | Marlene Theresa Hayman | Internal Medicine | 501 North Frederick Avenue, Gaithersburg, MD 20877-2598 | 2006-11-30 |
| 1518035518 | Francine C Benjamin | Nurse Practitioner | 501 North Frederick Avenue, Gaithersburg, MD 20877-2598 | 2006-11-30 |
| 1932275120 | Janet A Fried | Obstetrics & Gynecology | 501 North Frederick Avenue, Gaithersburg, MD 20877-2598 | 2006-11-28 |
| 1760555023 | Ann Isabel Hellerstein | Pediatrics | 501 North Frederick Avenue, Gaithersburg, MD 20877-2598 | 2006-11-16 |
| 1134292493 | Martin A Portillo | Internal Medicine | 501 North Frederick Avenue, Gaithersburg, MD 20877-2598 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780989335 | Hangxiu Xu | Optometrist | 3129 Normandy Woods Dr Apt D, Ellicott City, MD 21043-4582 | 2011-01-12 |
| 1417018946 | Irvin R Maduro | Optometrist | 6014 Old Branch Ave, Kaiser Permanente Camp Springs Medical Center, Temple Hills, MD 20748-2518 | 2006-12-12 |
| 1104885037 | Amanda Rae Zeller Manley | Optometrist | 6900 Wisconsin Ave, Suite 600, Chevy Chase, MD 20815-6114 | 2006-03-20 |
| 1154300309 | Diane Serex-dougan | Optometrist | 7954 Harford Rd, Baltimore, MD 21234-5838 | 2006-01-14 |
| 1265997522 | Kelsey Starman | Optometrist | 6509 Democracy Blvd, Bethesda, MD 20817-1639 | 2019-01-31 |
| 1285126011 | Diane Serex-dougan, O.d. | Optometrist | 7954 Harford Rd, Baltimore, MD 21234-5838 | 2018-06-06 |
| 1598045957 | Vision and Conceptual Development Center LLC | Optometrist | 6900 Wisconsin Ave, Suite 600, Chevy Chase, MD 20815-6114 | 2011-08-17 |
| 1477856474 | Vision and Conceptual Development Center LLC | Optometrist | 6900 Wisconsin Ave, Suite 600, Chevy Chase, MD 20815-6114 | 2010-12-13 |
| 1033424791 | Eleanor Kim Min | Optometrist | 1209 York Rd, Suite 200, Lutherville, MD 21093-6220 | 2010-08-18 |
| 1104013747 | Jill Meredith Vocci | Optometrist | 2 Hamill Rd, Suite 345, Baltimore, MD 21210-1806 | 2007-09-27 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.