DR. LEE ERIC TANNENBAUM (NPI# 1528030004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528030004 |
| Entity Type | Individual |
| Full Name | DR. LEE ERIC TANNENBAUM |
| Credential | M.D. |
| Practice Address |
2012 S Tollgate Rd Ste 106 Bel Air MD 21015-5900 |
| Practice Telephone | 4105699429 |
| Practice Fax Number | 4105699423 |
| Mailing Telephone | 4105699429 |
| Mailing Fax Number | 4105699423 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
D39763 | MD | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
D39763 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
2012 S TOLLGATE RD STE 106 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179722 | Vincent Anthony Giminaro | Internal Medicine | 2012 S Tollgate Rd, Ste 111, Bel Air, MD 21015-5900 | 2005-10-21 |
| 1679075840 | Jennifer Kerstetter | Dermatology | 2012 S Tollgate Rd, Bel Air, MD 21015-5900 | 2018-03-05 |
| 1659828267 | Victoria Baeten | Nurse Practitioner | 2012 S Tollgate Rd, Suite 206, Bel Air, MD 21015-1272 | 2016-09-01 |
| 1366998957 | B Lee Md Associates | Anesthesiology | 2012 S Tollgate Rd, Suite 102, Bel Air, MD 21015-5900 | 2016-09-01 |
| 1962958926 | Wellspring Clinic LLC | Family Medicine | 2012 S Tollgate Rd, Suite 206, Bel Air, MD 21015-5900 | 2016-08-30 |
| 1407245749 | Growing Smiles LLC | Dentist | 2012 S Tollgate Rd, Suite 212, Bel Air, MD 21015-5900 | 2015-01-09 |
| 1164810891 | Lifebridge Community Physicians, Inc | Orthopaedic Surgery | 2012 S Tollgate Rd, Suite 109, Bel Air, MD 21015-5900 | 2015-01-05 |
| 1417354812 | Lifebridge Community Physicians, Inc | Internal Medicine | 2012 S Tollgate Rd, Suite 111, Bel Air, MD 21015-5900 | 2014-12-01 |
| 1295023497 | Czareyna Pajaron Carcellar | Nurse Practitioner | 2012 S Tollgate Rd, Bel Air, MD 21015-5900 | 2011-07-21 |
| 1801122775 | Aesthetic Family Dentistry of Bel Air | Dentist | 2012 S Tollgate Rd, Ste 108, Bel Air, MD 21015-5900 | 2009-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293138 | Bmoreyouthful LLC | Family Medicine | 517 Dusk View Dr, Havre De Grace, MD 21078-2369 | 2020-04-06 |
| 1497256820 | Change Treatment LLC | Family Medicine | 2926 E Cold Spring Ln Ste 3, Baltimore, MD 21214-2800 | 2018-02-21 |
| 1992226310 | Ideal Option, Pllc | Family Medicine | 265 Mill St Ste 100, Hagerstown, MD 21740-6170 | 2017-07-06 |
| 1306395819 | Ciganek LLC | Family Medicine | 633 Railroad Ave, Centreville, MD 21617-1144 | 2016-09-26 |
| 1629114657 | Laurie J. Poss, M.d. P.a. | Family Medicine | 133 Defense Highway, Suite 211, Annapolis, MD 21401-7378 | 2007-01-29 |
| 1619054046 | Paulette Camille Hill | Family Medicine | 707 S President St Apt 1335, Baltimore, MD 21202-4497 | 2006-11-01 |
| 1891872669 | Akintoye Adelakun | Family Medicine | 3311 Toledo Terrace, Suite A3, Blessing Medical Center, Hyattsville, MD 20785 | 2006-11-01 |
| 1417982208 | Robert Scott Goodwin | Family Medicine | 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 | 2006-07-11 |
| 1447225719 | Natale Joseph Gagliardi | Family Medicine | 2528 Mountain Rd, #204, Pasadena, MD 21122-2300 | 2006-02-21 |
| 1730787847 | Envision Health and Wellness | Family Medicine | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LEE ERIC TANNENBAUM.
| 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.