ANNIE TAN (NPI# 1750470696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750470696 |
| Entity Type | Individual |
| Full Name | ANNIE TAN |
| Credential | MD |
| Practice Address |
11850 Blackfoot St Nw Suite 100 Coon Rapids MN 55433-2598 |
| Practice Telephone | 7637212100 |
| Practice Fax Number | 7637212190 |
| Mailing Telephone | 7637212100 |
| Mailing Fax Number | 7637212190 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
47116 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 815T5TA | 01 |
| MN | PREFERREDONE | 961141050294 | 01 |
| MN | UCARE | 132945 | 01 |
| MN | HEALTHPARTNERS | HP53303 | 01 |
| MN | MEDICA | 07-05956 | 01 |
| MN | ARAZ | 2368961 | 01 |
| MN | FAIRVIEW | 83694-0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255454351 | Annie Enli Tan | Acupuncturist | 1441 Franklin St Ste 203, Oakland, CA 94612-3219 | 2007-04-06 |
| 1134126683 | Annie R Tan | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2005-06-30 |
| Street Address |
11850 BLACKFOOT ST NW SUITE 100 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255392353 | Robin R Uithoven | Nurse Practitioner | 11850 Blackfoot St Nw, Suite 100, Coon Rapids, MN 55433-2578 | 2006-03-29 |
| 1346768884 | Drew Alexander Holm | Physician Assistant | 11850 Blackfoot St Nw, Coon Rapids, MN 55433-2578 | 2017-09-05 |
| 1912458571 | Denise Rae Jones | Genetic Counselor, MS | 11850 Blackfoot St Nw, Suite 130, Coon Rapids, MN 55433-2578 | 2016-10-19 |
| 1356895759 | Hannah Wheaton | Physician Assistant | 11850 Blackfoot St Nw, Ste. 300, Coon Rapids, MN 55433-2578 | 2016-08-15 |
| 1457805020 | Amanda Michelle Peterson | Physician Assistant | 11850 Blackfoot St Nw, Ste 300, Coon Rapids, MN 55433-2578 | 2016-08-11 |
| 1861945693 | Maureen Carberry | Physician Assistant | 11850 Blackfoot St Nw, #300, Coon Rapids, MN 55433-2578 | 2016-07-28 |
| 1104163369 | Krista Marie Skoglund | Physician Assistant | 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 | 2013-01-08 |
| 1255641791 | Derek Paul Doty | Chiropractor | 11850 Blackfoot St Nw, Ste. 405, Coon Rapids, MN 55433-2578 | 2010-10-18 |
| 1376856500 | Niloo Shanya Krueger | Surgery | 11850 Blackfoot St Nw, Coon Rapids, MN 55433-2578 | 2010-07-16 |
| 1699001180 | Rachel Lynn Stevens | Physician Assistant | 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 | 2009-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326204942 | Lori Weinberg | Obstetrics & Gynecology | 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774 | 2008-08-03 |
| 1447409834 | Minnesota Oncology Hematology, Pa | Obstetrics & Gynecology | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356687255 | John E. Savage, M.d., P.a. | Obstetrics & Gynecology | 280 N Smith Ave, Suite 311, St Paul, MN 55102-2424 | 2012-12-20 |
| 1184732406 | Ebrahim Versi | Obstetrics & Gynecology | 6585 City West Pkwy, Eden Prairie, MN 55344-3248 | 2006-08-27 |
| 1013478775 | Kelly Jean Killian | Obstetrics & Gynecology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-03-26 |
| 1669825717 | Fiorella Enid Reyes Baez | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-07-13 |
| 1629459961 | Rachel Mansfield Bramblet | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-12 |
| 1427445816 | Clarissa Polen-de | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-23 |
| 1831535558 | Adrianne Rose Mallen | Obstetrics & Gynecology | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2013-05-21 |
| 1639418452 | Lauren Thomaier | Obstetrics & Gynecology | 515 Delaware Street Se, 12th Floor Moos, Division of Gynecologic Oncology, Minneapolis, MN 55455 | 2013-02-14 |
| 1588922488 | Andrea Smiens O'shea | Obstetrics & Gynecology | 6500 Excelsior Blvd, St Louis Park, MN 55426 | 2012-04-27 |
| 1316251796 | Ismail Mert | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-07-28 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on ANNIE 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.