PETER H. TAN (NPI# 1750305272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750305272 |
| Entity Type | Individual |
| Full Name | PETER H. TAN |
| Credential | MD |
| Practice Address |
13100 Fort King Rd Dade City FL 33525-5294 |
| Mailing Address |
Po Box 1647 Richlands VA 24641-1647 |
| Practice Telephone | 3525211160 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME31362 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 08084 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932585916 | Peter M Tan Jr. | Dentist | 14679 Apple Harvest Dr Ste 100, Martinsburg, WV 25401-3703 | 2015-08-03 |
| 1013060284 | Peter B Tan | Physical Therapist | 765 Sereno Dr, Vallejo, CA 94589-2415 | 2007-01-19 |
| 1639141609 | Peter M Tan | Oral & Maxillofacial Surgery | 68 Thomas Johnson Dr, Suite A, Frederick, MD 21702 | 2006-02-03 |
| 1144228909 | Peter Xuepeng Tan | Internal Medicine | 117 E Live Oak Ave, Suite 101, Arcadia, CA 91006-5269 | 2005-07-14 |
| 1184113763 | Peter Tan | Physician Assistant | 34612 6th Ave S Ste 300, Federal Way, WA 98003-8723 | 2018-05-09 |
| Street Address |
13100 FORT KING RD |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-5294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194232 | Sin Lee | Emergency Medicine | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2005-06-14 |
| 1508486960 | Brian E Connelly | Specialist/Technologist, Other | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2020-04-25 |
| 1821553710 | Florida Hospital Dade City Inc | Skilled Nursing Facility | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2019-02-05 |
| 1215444054 | Florida Hospital Dade City Inc | General Acute Care Hospital | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2018-01-02 |
| 1811434954 | Rachel Alexander | Registered Nurse | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2017-01-27 |
| 1841529484 | Pasco Regional Physician Services | Internal Medicine | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2009-12-10 |
| 1982932562 | Gulf-to-bay Anesthesiology Associates LLC | Anesthesiology | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2009-11-19 |
| 1598921900 | Pasco Hma Inc | Surgery | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2008-08-05 |
| 1972781870 | Sagar C Galwankar | Emergency Medicine | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2008-02-04 |
| 1972791770 | Florida Em-i Medical Services Pa | Nurse Practitioner | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2007-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972524866 | West Central Florida Pathology Associates Pa | Pathology | 13100 Fort King Rd, Dade City, FL 33525-5294 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
| Find all providers with the same taxonomy | ||||
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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.