KENNETH SHU-WEN TAN (NPI# 1699039594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699039594 |
| Entity Type | Individual |
| Full Name | KENNETH SHU-WEN TAN |
| Credential | M.D. |
| Practice Address |
3217 S Providence Rd Columbia MO 65203-3639 |
| Practice Telephone | 5738847733 |
| Practice Fax Number | 5738826228 |
| Mailing Telephone | 5738847733 |
| Mailing Fax Number | 5738826228 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2012020842 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780631788 | Kenneth I-chien Tan | Pediatrics | 3880 S. Bascom Avenue, #208, San Jose, CA 95124-2675 | 2006-05-27 |
| 1306008834 | Kenneth Tan Tan | Radiology | 5820 Oberlin Dr, Ste. 205, San Diego, CA 92121-3742 | 2008-06-26 |
| 1396821815 | Kenneth C. Tan | Internal Medicine | 7520 Arroyo Cir, Gilroy, CA 95020-7303 | 2006-10-27 |
| 1013918283 | Kenneth Tan | Family Medicine | 4300 Rose Dr, Yorba Linda, CA 92886-2026 | 2005-08-09 |
| Street Address |
3217 S PROVIDENCE RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734606 | Cari M. Worley Henry | Family Medicine | 3217 S Providence Rd, Columbia, MO 65203-3639 | 2005-07-18 |
| 1427498906 | Gurdeep Singh Manhas | Family Medicine | 3217 S Providence Rd, Columbia, MO 65203-3639 | 2013-06-28 |
| 1891069209 | Katherine Allhoff | Dietitian, Registered | 3217 S Providence Rd, Columbia, MO 65203-3639 | 2012-03-02 |
| 1629276043 | Aaron Gray | Family Medicine | 3217 S Providence Rd, Dc032.00, Columbia, MO 65203-3639 | 2007-07-06 |
| 1588674006 | Timothy Joseph Fete | Pediatrics | 3217 S Providence Rd, Columbia, MO 65203-3639 | 2006-08-08 |
| 1720019268 | Sonia M Acevedo Espinoza | Family Medicine | 3217 S Providence Rd, Columbia, MO 65203-3639 | 2006-07-05 |
| 1811944481 | Kathleen M Doisy | Pediatrics | 3217 S Providence Rd, Columbia, MO 65203-3639 | 2006-05-28 |
| 1245287325 | Georgia Nolph | Family Medicine | 3217 S Providence Rd, Columbia, MO 65203-3639 | 2006-05-27 |
| 1780639120 | Margaret C Wang | Pediatrics | 3217 S Providence Rd, Columbia, MO 65212-0001 | 2006-05-24 |
| 1821041021 | Mary Todd Williamson | Psychologist | 3217 S Providence Rd, Columbia, MO 65203-3639 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1457977563 | Jenny Tatiana Gonzalez Guzman | Family Medicine | Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-24 |
| 1942825500 | Jarvis Jamal Johnson | Family Medicine | Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-10 |
| 1386268183 | Nicolas Anthony Limogiannis | Family Medicine | Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-08 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1275177420 | Palmetto Primary Care Physicians | Family Medicine | 1415 Blanding St Ste 2, Columbia, SC 29201-2922 | 2019-10-31 |
| 1558919852 | Synergos Medical, LLC | Family Medicine | 1703 Oak Cliff Pl, Columbia, MO 65203-4719 | 2019-08-29 |
| 1972156982 | Maury Regional Medical Group, Inc | Family Medicine | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2019-07-18 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on KENNETH SHU-WEN TAN.
| 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.