SHAW M TANG (NPI# 1578684809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578684809 |
| Entity Type | Individual |
| Full Name | SHAW M TANG |
| Credential | D.O. |
| Practice Address |
802 S Jackson Ave Ste 310 Tulsa OK 74127-9057 |
| Practice Telephone | 9186318130 |
| Practice Fax Number | 9186318134 |
| Mailing Telephone | 9186318130 |
| Mailing Fax Number | 9186318134 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
6508 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200785150A | 05 | |
| OK | MEDICARE | 691847 | 01 |
| Street Address |
802 S JACKSON AVE STE 310 |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326149048 | Nadim N Daher | Emergency Medicine | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2006-09-26 |
| 1659850238 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2018-08-14 |
| 1205298122 | Mark Johnson | Student in an Organized Health Care Education/Training Program | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2016-03-22 |
| 1437569639 | Ahmad Khattab | Anesthesiology | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2014-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390963 | Kreitzberg Plastic Surgery LLC | Surgery | 6585 S Yale Ave Ste 315, Tulsa, OK 74136-8316 | 2020-06-12 |
| 1346476579 | Brenda Schiesel | Surgery | 10131 S Yale Ave Ste B, Tulsa, OK 74137-6007 | 2009-06-02 |
| 1568479384 | Stephen Murray Paulsen | Surgery | 6585 S Yale Ave Ste 1020, Tulsa, OK 74136-8323 | 2006-08-02 |
| 1770512097 | Greg Ratliff | Surgery | 2107 E 15th St, Tulsa, OK 74104-4613 | 2006-06-30 |
| 1578548475 | Joey M Manduano | Surgery | 2219 E 21st St, Tulsa, OK 74114-1411 | 2005-12-13 |
| 1114923794 | Laurie Ann Duckett | Surgery | 1809 E 13th St Ste 400, Tulsa, OK 74104-4431 | 2005-06-28 |
| 1629365085 | E Bradley Garber, M.d., P.C. | Surgery | 1784 S Utica Ave, Tulsa, OK 74104-5336 | 2011-07-06 |
| 1164651394 | Aesthetic Surgery of Tulsa, Pllc | Surgery | 6802 S Olympia Ave, Suite G113, Tulsa, OK 74132-1823 | 2009-07-09 |
| 1336388792 | Angie M Hignite | Surgery | 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 | 2009-02-09 |
| 1760644637 | Rola E Eid | Surgery | 6585 S Yale Ave, Suite 315, Tulsa, OK 74136-8384 | 2008-07-01 |
| Find all providers in TULSA | ||||
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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.