DR. EUGENE PO TAN (NPI# 1750352258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750352258 |
| Entity Type | Individual |
| Full Name | DR. EUGENE PO TAN |
| Credential | M.D. |
| Practice Address |
8245 County Road 44 Leg A Suite 2 Leesburg FL 34788-3751 |
| Practice Telephone | 3523263366 |
| Practice Fax Number | 3523263533 |
| Mailing Telephone | 3523263366 |
| Mailing Fax Number | 3523263533 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME66420 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
ME66420 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 375528200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962848663 | Eugene Matthew Tan | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-05-21 |
| 1295061802 | Eugene F Tan | Family Medicine | 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933-3800 | 2009-11-02 |
| Street Address |
8245 COUNTY ROAD 44 LEG A SUITE 2 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194795807 | Thomas J Shen | Allergy & Immunology | 8245 County Road 44 Leg A, Suite 1, Leesburg, FL 34788-3751 | 2006-01-25 |
| 1841258027 | Allergy Asthma & Immunology Center, Inc | Specialist | 8245 County Road 44 Leg A, Suite 1, Leesburg, FL 34788-3751 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073906202 | David O. Elliott M.d.pa | Pediatrics | 1218 W Dixie Ave, Suite B, Leesburg, FL 34748-6380 | 2015-03-12 |
| 1003258666 | Leesburg Pediatrics Pa | Pediatrics | 110 E North Blvd, Leesburg, FL 34748-5241 | 2013-07-24 |
| 1164659934 | Sosun Z. Faqiri | Pediatrics | 161 Fort Evans Road Ne, Suite 330, Leesburg, VA 20176 | 2009-06-18 |
| 1104012590 | Loudoun Medical Group PC | Pediatrics | 722 E Market Street, Suite 202, Leesburg, VA 20176 | 2007-09-19 |
| 1760505135 | Stephanie Sterrett Konkus | Pediatrics | Town Pediatrics, 823 S. King St, Leesburg, VA 20175 | 2007-04-09 |
| 1639251150 | Sandra Joy Groeber | Pediatrics | 823 S King St, F, Leesburg, VA 20175-3915 | 2006-10-20 |
| 1467487959 | Patricia Finn Rappaport | Pediatrics | 823 S King St Ste F, Leesburg, VA 20175-3916 | 2006-07-12 |
| 1063405579 | Corinna Talley Schrankel | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2005-08-30 |
| 1306839378 | Maria Magdalena Mena | Pediatrics | 733 North 3rd Street, Leesburg, FL 34748-4441 | 2005-08-25 |
| 1043217003 | William Jeffrey Franks | Pediatrics | 225 N 1st St, Leesburg, FL 34748-5150 | 2005-07-06 |
| Find all providers in LEESBURG | ||||
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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.