PAMELA TAN (NPI# 1972741122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972741122 |
| Entity Type | Individual |
| Full Name | PAMELA TAN |
| Credential | MD |
| Practice Address |
4401 E West Hwy Ste 208 Bethesda MD 20814-4531 |
| Practice Telephone | 2024762157 |
| Mailing Telephone | 3019417481 |
| Mailing Fax Number | 5203636186 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD.207140 | LA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
D85168 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
4401 E WEST HWY STE 208 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753475 | Ellen E. Cronin | Psychiatry & Neurology | 4401 E West Hwy, Suite 202, Bethesda, MD 20814-4523 | 2006-01-03 |
| 1639477565 | Fredric B. Kleiner, Ph.d. & Associates, P.C. | Clinic/Center | 4401 E West Hwy, Suite 307, Bethesda, MD 20814-4523 | 2011-03-01 |
| 1861721243 | Jason M. Goldberg, Lcsw-c | Social Worker | 4401 E West Hwy, Suite 207, Bethesda, MD 20814-4523 | 2009-12-15 |
| 1538325386 | Sally Breggin Burman | Social Worker | 4401 E West Hwy, Suite 200, Bethesda, MD 20814-4523 | 2008-07-31 |
| 1821206459 | Veronica Rogers Everett | Social Worker | 4401 E West Hwy, Suite 307, Bethesda, MD 20814-4523 | 2007-05-18 |
| 1184748667 | Psychiatric Nurse Practitioner Associate, LLC | Nurse Practitioner | 4401 E West Hwy, Suite 206 B, Bethesda, MD 20814-4523 | 2007-03-19 |
| 1801983804 | Terry Louise Ullman | Social Worker | 4401 E West Hwy, Suite 202, Bethesda, MD 20814-4523 | 2006-10-10 |
| 1639125446 | Jonathan Lebolt | Social Worker | 4401 E West Hwy, Bethesda, MD 20814-4523 | 2006-05-25 |
| 1952381121 | Charles H Simpkinson | Psychologist | 4401 E West Hwy, 200, Bethesda, MD 20814-4523 | 2006-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713286 | Faulkner Plastic Surgery | Surgery | 6000 Executive Blvd Ste 204, North Bethesda, MD 20852-3803 | 2019-01-03 |
| 1043509748 | Salih Colakoglu | Surgery | 601 N Caroline St # 8152c, Baltimore, MD 21287-0006 | 2011-04-04 |
| 1376786418 | Emile Nathaniel Brown | Surgery | 1838 Greene Tree Rd Ste 370, Pikesville, MD 21208-7102 | 2009-04-17 |
| 1164682746 | Claire Susan Duggal | Surgery | 621 Ridgely Ave 401, Annapolis, MD 21401-1099 | 2008-06-17 |
| 1487813358 | Jerome S Plasse Md Pa | Surgery | 10085 Red Run Blvd #405, Owings Mills, MD 21117 | 2008-06-05 |
| 1073793501 | Bradley C Robertson Md L L C | Surgery | 1 Barrington Place, Suite 106, Bel Air, MD 21014-5607 | 2007-11-13 |
| 1093875288 | James E. Vogel | Surgery | 4 Park Center Ct, 100, Owings Mills, MD 21117-5611 | 2006-12-11 |
| 1750463964 | Stephane Corriveau | Surgery | 5530 Wisconsin Ave Ste 711, Chevy Chase, MD 20815-4401 | 2006-10-19 |
| 1477584753 | Alyson Delane Wells | Surgery | 10151 York Rd, Suites 112-114, Hunt Valley, MD 21030-3314 | 2006-07-05 |
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
| Find all providers with the same taxonomy | ||||
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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.