ALAN L TANNENBAUM MD PA (NPI# 1902885270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902885270 |
Entity Type | Organization |
Organization Name | ALAN L TANNENBAUM MD PA |
Other Organization Name | PRIMARY CARE ASSOC |
Practice Address |
523 Cape Coral Pkwy E Primary Care Assoc Cape Coral FL 33904-8545 |
Practice Telephone | 2395492772 |
Practice Fax Number | 2395492332 |
Mailing Telephone | 2395492772 |
Mailing Fax Number | 2395492332 |
Enumeration Date | 2006-01-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ALAN L TANNENBAUM (OWNER/PRIMARY OFFICER) |
Authorized Official Telephone | 2395492772 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 111N00000X | Chiropractor | Chiropractic Providers | ||
X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BS | 38626 | 01 |
Other Name | Type Code |
---|---|
Primary Care Assoc | Doing Business As Name - Organization |
Street Address |
523 CAPE CORAL PKWY E PRIMARY CARE ASSOC |
City | CAPE CORAL |
State | FL |
Zip Code | 33904-8545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669476008 | Earle W. Moore | Family Medicine | 523 Cape Coral Pkwy E, Primary Care Assoc., Cape Coral, FL 33904-8545 | 2005-06-13 |
1841656501 | Vandan Taparia | Physical Therapist | 523 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 | 2016-01-12 |
1134541980 | Robert Hoeffner | Hearing Instrument Specialist | 523 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 | 2014-01-14 |
1417160086 | Joseph Edward Albanese | Internal Medicine | 523 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 | 2007-05-08 |
1831225853 | Brenda Illene Rose | Occupational Therapist | 523 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 | 2007-02-26 |
1235117342 | Alan L Tannenbaum | Internal Medicine | 523 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 | 2006-01-09 |
1669459574 | Julie Cross | Family Medicine | 523 Cape Coral Pkwy E, Cape Coral, FL 33904-8545 | 2005-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356835698 | Wendy Reyes Perez | Behavioral Analyst | 326 Se 31st St, Cape Coral, FL 33904 | 2018-06-20 |
1669923488 | Tcm Quality Services, Inc | Case Management | 2804 Del Prado Blvd, # 209 Suite 3, Cape Coral, FL 33904 | 2016-10-17 |
1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
1508205634 | Brandy Williams | Counselor | 3723 A Del Prado Blvd S, Cape Coral, FL 33904 | 2013-06-21 |
1295002608 | Jcs Home Health, Inc. | Home Health | 1505 Se 40th St., Ste. C, Cape Coral, FL 33904 | 2011-11-30 |
1477835551 | Thomas Dare | Occupational Therapist | 4129 Se 2nd Ave., Cape Coral, FL 33904 | 2011-09-14 |
1134422173 | Michelle L Mandich | Massage Therapist | 3636 Del Prado Blvd S., Cape Coral, FL 33904 | 2010-12-14 |
1770807059 | Professional Nurses Registry | Nursing Care | 875 Se 47th Terr., Suite 1, Cape Coral, FL 33904 | 2010-03-16 |
Find all providers in zip 33904 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194355610 | Kassandra Lynn Francis | Chiropractor | 418 Cape Coral Pkwy W, Cape Coral, FL 33914-6520 | 2020-01-23 |
1538720172 | Cape Wellness Inc | Chiropractor | 3326 Del Prado Blvd S Ste 9, Cape Coral, FL 33904-7236 | 2019-06-25 |
1316407398 | Hybrid Health and Recovery | Chiropractor | 2717 Santa Barbara Blvd Ste 160, Cape Coral, FL 33914-4432 | 2019-03-25 |
1225515422 | Lutz Health and Wellness LLC | Chiropractor | 1611 Santa Barbara Blvd Ste 170, Cape Coral, FL 33991-3448 | 2018-07-20 |
1801384573 | John R Penland | Chiropractor | 2516 Sw 52nd Ter, Cape Coral, FL 33914-7604 | 2018-04-27 |
1447794342 | Experience Family Chiropractic | Chiropractor | 2378 Surfside Blvd, Suite A133, Cape Coral, FL 33991-3181 | 2016-12-12 |
1740731983 | Jack T Ludwig I | Chiropractor | 210 Del Prado Blvd S Ste 3, Cape Coral, FL 33990-1763 | 2016-10-24 |
1023416195 | Horizon Chiropractic Care Inc. | Chiropractor | 9 Del Prado Blvd N, Suite 1, Cape Coral, FL 33909-2777 | 2014-12-05 |
1417379116 | Ashton Leyland Begg | Chiropractor | 3316 Chiquita Blvd S, Suite # 1, Cape Coral, FL 33914-5164 | 2014-01-14 |
1164780474 | Eric Lloyd Harter | Chiropractor | 1611 Santa Barbara Blvd, 170, Cape Coral, FL 33991-3439 | 2012-04-25 |
Find all providers in CAPE CORAL |
City | CAPE CORAL |
Zip Code | 33904 |
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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.