DR. RAYMOND K. TAN (NPI# 1780615575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780615575 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND K. TAN |
| Credential | M.D. |
| Practice Address |
1000 South Ave Medical Imaging Rochester NY 14620-2733 |
| Mailing Address |
601 Elmwood Ave Box 648 Rochester NY 14642-0001 |
| Practice Telephone | 5852751376 |
| Mailing Telephone | 5852751376 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
201706 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104809946 | Raymond Charles Tan | Radiology | 7887 N Cedar Ave, Fresno, CA 93720-2685 | 2005-11-25 |
| 1275004202 | Raymond Enriquez Tan | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-12-17 |
| 1063995520 | Raymond Tan | Physical Therapy Assistant | 1341 Blalock Rd, Houston, TX 77055-6427 | 2018-09-11 |
| 1457523995 | Raymond Tan | Internal Medicine | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2008-03-25 |
| Street Address |
1000 SOUTH AVE MEDICAL IMAGING |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113618 | Tulsi Dass | Specialist | 1000 South Ave, # 95, Rochester, NY 14620-2733 | 2005-06-10 |
| 1285234088 | David Boguta | Physician Assistant | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-29 |
| 1285233643 | Autumn Hope Smith | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-18 |
| 1528665841 | Zachary Lamb | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-08 |
| 1245853134 | Travis John Lawrence | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-05-26 |
| 1962035790 | James Spencer Caal | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-20 |
| 1417580994 | Sarah Jean Jones | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-12 |
| 1346872371 | Ellen Hufziger | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-07 |
| 1568093169 | Tricia Blanchard | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2782 | 2020-02-01 |
| 1902437858 | Aubrie Anna Macikowski | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1518209675 | Peter Alan Dvorak | Radiology | 36 Edgemont Rd, Rochester, NY 14620-4520 | 2013-03-26 |
| 1144519992 | Daniel C Oppenheimer | Radiology | 601 Elmwood Ave Box 648, Rochester, NY 14642-1016 | 2011-04-01 |
| 1992094072 | Joel P Thompson | Radiology | 995 Senator Keating Blvd Ste 100, Rochester, NY 14618-2777 | 2011-03-29 |
| 1871793570 | Ian Jermaine Wilson | Radiology | 1892 Winton Rd S Ste 190, Rochester, NY 14618-3996 | 2007-07-20 |
| 1487860482 | Nadia Fatima Yusaf | Radiology | 2623 South Clinton Ave, Rochester, NY 14618-2623 | 2007-05-15 |
| 1356413470 | Man-mei Nadine Su | Radiology | 1776 11th Ave Ne, Rochester, MN 55906-4215 | 2006-11-14 |
| 1639184377 | Arun Basu | Radiology | 601 Elmwood Ave # 648, Rochester, NY 14642-0001 | 2006-07-30 |
| 1811901135 | Devang Butani | Radiology | 601 Elmwood Ave / Univ. of Roch. Med Ctr, Imaging Sciences, Box 648, Rochester, NY 14642-1698 | 2006-07-29 |
| Find all providers in ROCHESTER | ||||
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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.