EKIONG CHUA TAN (NPI# 1659569994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659569994 |
| Entity Type | Individual |
| Full Name | EKIONG CHUA TAN |
| Credential | M.D.,PA |
| Practice Address |
13435 S Mccall Rd Unit 16 Ste 397 Port Charlotte FL 33981-6421 |
| Mailing Address |
13435 S Mccall Rd Unit 16 Ste. 397 Port Charlotte FL 33981-6421 |
| Practice Telephone | 9412140209 |
| Practice Fax Number | 9414757689 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2013-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME0045958 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
13435 S MCCALL RD UNIT 16 STE 397 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33981-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003089681 | Edward J Szmigiel | Pharmacist | 13435 South Mccall Rd, Port Charlotte, FL 33981 | 2008-04-04 |
| 1710984281 | Karen V Ray | Family Medicine | 12034 N. Access Rd., Pt Charlotte, FL 33981 | 2005-06-30 |
| 1093002776 | Rad One Inc | Radiologic Technologist | 12462 Krome Ave, Port Charlotte, FL 33981-1327 | 2011-07-01 |
| 1952597601 | Linda A Macallister | Case Manager/Care Coordinator | 13212 Feldspar Ave, Port Charlotte, FL 33981-1817 | 2007-09-17 |
| 1417184797 | Carol M Berry | Occupational Therapist | 5218 Fleming St, Port Charlotte, FL 33981-1842 | 2009-06-15 |
| 1912409301 | Precision Medical Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5404 Gulfport Ter, Port Charlotte, FL 33981-2028 | 2018-03-01 |
| 1962014910 | Liana M Berkofsky | Massage Therapist | 5372 Bearup St, Port Charlotte, FL 33981-2203 | 2020-08-20 |
| 1881139590 | Deborah Schuetze | Occupational Therapy Assistant | 5265 Forbes Ter, Port Charlotte, FL 33981-2248 | 2017-01-04 |
| 1578192910 | Little Debbie's Second Chance Homes Florida | Case Management | 8379 Gasparilla Rd, Port Charlotte, FL 33981-2819 | 2020-04-07 |
| 1083856256 | Linda Lurena Evans | Nurse Practitioner | 14170 Ingraham Blvd, Port Charlotte, FL 33981-3015 | 2009-04-02 |
| Find all providers in zip 33981 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720469596 | Crystal Smedley | Urology | 2400 Harbor Blvd Ste 21, Port Charlotte, FL 33952-5038 | 2015-06-17 |
| 1164669404 | Jens C. Carlsen | Urology | 2525 Harbor Blvd Ste 301, Port Charlotte, FL 33952-5342 | 2009-01-08 |
| 1437697646 | Jens Christian Carlsen Do Pllc | Urology | 2525 Harbor Blvd, Ste. 301, Port Charlotte, FL 33952-5317 | 2017-02-08 |
| 1255741880 | Genesiscare Usa of Florida LLC | Urology | 21260 Olean Blvd, Suite 202a, Port Charlotte, FL 33952-6742 | 2014-05-05 |
| 1518278555 | 21st Century Oncology LLC | Urology | 3390 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8157 | 2010-06-24 |
| 1043465099 | Genesiscare Usa of Florida LLC | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8112 | 2008-11-18 |
| 1023193018 | Marc A. Melser, Md, Pl | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8112 | 2006-10-26 |
| 1063480085 | Marc A Melser | Urology | 3410 Tamiami Trl, Suite 4, Port Charlotte, FL 33952-8127 | 2006-03-08 |
| 1205818804 | Gary Lee Berger | Urology | 2400 Harbor Blvd, Suite 21, Port Charlotte, FL 33952-5052 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33981 |
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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.