DR. WALTER TAN


Address: 3000 New Bern Ave Ste 1100, Wpp - Structural Heart, Raleigh, NC 27610-1231
Phone: 9192325202

DR. WALTER TAN (NPI# 1821010067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821010067
Entity Type Individual
Full Name DR. WALTER TAN
Credential M.D.
Practice Address 3000 New Bern Ave Ste 1100
Wpp - Structural Heart
Raleigh
NC 27610-1231
Practice Telephone 9192325202
Practice Fax Number 9192316334
Mailing Telephone 9192325202
Mailing Fax Number 9192316334
Enumeration Date 2006-07-24
Last Update Date 2015-03-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
200201012 NC Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
200201012 NC Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
200201012 NC Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 200201012 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDCOST 190783 01
NC BCBSNC 131VT 01
NC MEDICARE RAILROAD P00418889 01
NC 89131VT 05

Other Providers WALTER TAN

NPI Name Taxonomy Address Enumeration
1841395969 Walter S Tan Radiology 1423 Chicago Rd, Radiology Department, Chicago Heights, IL 60411-3400 2006-09-13

Office Location

Street Address 3000 NEW BERN AVE STE 1100
WPP - STRUCTURAL HEART
City RALEIGH
State NC
Zip Code 27610-1231

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336767185 Teena Ruby Chavis Specialist 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 2020-07-08
1891323002 Lauren Scarfo Physician Assistant 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 2020-04-01
1336701762 Bonnie Lauren Howard Parker Nurse Practitioner 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 2019-07-05
1518472976 Jonathan Elliott Van Hoose Nurse Practitioner 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 2017-12-07
1174928469 Albert Terry Simeone Jr. Physician Assistant 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 2014-10-29
1831363985 Judson B Williams Surgery 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 2008-04-19
1437257250 Lance Eric Landvater Thoracic Surgery (Cardiothoracic Vascular Surgery) 3000 New Bern Ave Ste 1100, Raleigh, NC 27610 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
Find all providers in zip 27610

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972001246 Cardiac Cin of Raleigh LLC Internal Medicine 555 Fayetteville St Ste 201-279, Raleigh, NC 27601-3030 2018-01-31
1316943822 Mark E. Leithe Internal Medicine 3320 Wake Forest Rd., Suite 200, Raleigh, NC 27609 2005-06-21
1245793009 Cnc Care of Nc II, LLC Internal Medicine 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 2019-04-09
1679036438 Cnc Care of Nc, LLC Internal Medicine 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 2019-04-09
1932662798 Cnc Care of Nc IIi, LLC Internal Medicine 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 2019-04-09
1710411160 Rex Hospital Inc Internal Medicine 2800 Blue Ridge Road, Suite 201, Raleigh, NC 27607-6477 2017-04-12
1598060808 Rex Physicians LLC Internal Medicine 3000 New Bern Ave, Suite G-100, Raleigh, NC 27610-1231 2011-01-18
1245236801 John R Sinden Internal Medicine 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 2005-06-28
1851397152 Brian M Go Internal Medicine 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 2005-06-22
1447256946 Virgil H Wynia Internal Medicine 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 2005-06-21
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

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.

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