DR. JONATHAN M TAN (NPI# 1538302187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538302187 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN M TAN |
| Credential | MD MPH |
| Practice Address |
3401 Civic Center Blvd Main Building, 9th Floor, Suite #9329 Philadelphia PA 19104-4319 |
| Mailing Address |
100 E Penn Sq The Wanamaker Bldg., 9th Fl, N Philadelphia PA 19107-3323 |
| Practice Telephone | 2155901866 |
| Practice Fax Number | 2155901415 |
| Mailing Telephone | 2674259300 |
| Mailing Fax Number | 2674259331 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD449265 | PA | Allopathic & Osteopathic Physicians |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
MD449265 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922054212 | Jonathan H Tan | Optometrist | 9002 N Navarro St, Victoria, TX 77904-1431 | 2006-05-26 |
| 1285010322 | Jonathan Joseph Tan | Physician Assistant | 1040 W Imperial Hwy Ste D, La Habra, CA 90631-0608 | 2015-07-30 |
| 1568648616 | Jonathan Peng-sui Tan | Psychologist | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2008-01-18 |
| Street Address |
3401 CIVIC CENTER BLVD MAIN BUILDING, 9TH FLOOR, SUITE #9329 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| 1932700259 | Rukhsar Karim Machiwalla | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-11-03 |
| 1346840519 | Vanessa Leigh Jones | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-27 |
| 1275131849 | Kelsey Ann Maher | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-15 |
| 1437756020 | Jennifer-rose Eccles | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-06 |
| 1891309787 | Morgan Mcmanus | Genetic Counselor, MS | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-08 |
| 1891309456 | Abigail G Stefanides | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-01 |
| 1124631247 | Abrar Khaled Alabdulhadi | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-28 |
| 1003427014 | Terrence Caldwell Jr. | Pharmacist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-13 |
| 1760093298 | Paige Emily Naschke | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629273685 | Julian Brian Kertsman | Anesthesiology | 1500 Locust St Apt 3112, Apt 3112, Philadelphia, PA 19102-4340 | 2007-06-19 |
| 1396721411 | Brian Patrick Struyk | Anesthesiology | 34th Street and Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 | 2005-12-20 |
| 1639657034 | Jason Vaz | Anesthesiology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-07-30 |
| 1023506276 | Shriners Hospitals for Children | Anesthesiology | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2018-04-24 |
| 1750730008 | Anna Sobilo | Anesthesiology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-06-08 |
| 1902250244 | Mark Ettore | Anesthesiology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-04-22 |
| 1487008371 | Pda Anesthesia Associates PC | Anesthesiology | 2301 E Allegheny Ave, Suite 201, Philadelphia, PA 19134-4427 | 2016-04-18 |
| 1174977276 | Evelyn Bae | Anesthesiology | 3401 Civic Center Blvd, Division of Anesthesiology, Philadelphia, PA 19104-4319 | 2016-04-15 |
| 1447604624 | Bryan Michael Perez | Anesthesiology | 3401 Civic Center Blvd, Department of Anesthesiology and Critical Care Medicine, Philadelphia, PA 19104 | 2016-04-14 |
| 1326453101 | Luis Rafael Sequera Ramos | Anesthesiology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-06-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.