Alfonso A Tan (NPI# 1295826519, PAC ID# 0547295727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1295826519 |
PAC ID by PECOS | 0547295727 |
Professional Enrollment ID | I20050927001429 |
Full Name | Alfonso A Tan |
Address |
6844 E Brown Rd Suite 101 Mesa AZ 85207-3758 |
Gender | M |
Credential | MD |
Graduation Year | 1982 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
030088 | BANNER BAYWOOD MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
6844 E Brown Rd, Suite 101, Mesa, AZ 85207-3758 |
Street Address |
6844 E BROWN RD SUITE 101 |
City | MESA |
State | AZ |
Zip | 85207-3758 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scarlett Lauren White | Physician Assistant | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
Tyson C Adair | Chiropractic | 6824 E Brown Rd, Suite 101, Mesa, AZ 85207-3705 | |
Kent T Lewis | Family Medicine | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
Shanoor N Khan | Physician Assistant | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
Vanessa B Mitchell | Physician Assistant | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
Tyler S Dennison | Physician Assistant | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
Marivic Badilla Guanso | Nurse Practitioner | Newco Hatfield Medical Group Pllc | 6820 E Brown Rd, Mesa, AZ 85207-3705 |
Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207-3755 | |
Lane R Bigler | Dermatology | 6832 E Brown Rd, Bigler Dermatology, Mesa, AZ 85207-3755 | |
John S Davis | Occupational Therapy | Petersen Physical Therapy PC | 6840 E Brown Rd, Suite 104, Mesa, AZ 85207-3759 |
Find all physicians in zip 85207 |
City | MESA |
Zip Code | 85207 |
Specialty | INTERNAL MEDICINE |
City + Specialty | MESA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Alfonso A Tan.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.