Gubert L Tan (NPI# 1285621490, PAC ID# 4789699331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1285621490 |
| PAC ID by PECOS | 4789699331 |
| Professional Enrollment ID | I20060217000527 |
| Full Name | Gubert L Tan |
| Organization Legal Name | OHIOHEALTH REGIONAL PHYSICIAN SERVICES LLC |
| Address |
335 Glessner Ave Mansfield OH 44903-2269 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | SLEEP MEDICINE |
| Group Practice PAC ID | 9739496902 |
| Number of Group Practice Members | 119 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360118 | OHIOHEALTH MANSFIELD HOSPITAL |
| 360002 | UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 335 Glessner Ave, Mansfield, OH 44903-2269 | OHIOHEALTH REGIONAL PHYSICIAN SERVICES LLC |
| Organization Legal Name | OHIOHEALTH REGIONAL PHYSICIAN SERVICES LLC |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yohannes Bayissa | Interventional Cardiology | Ohiohealth Regional Physician Services LLC | 330 Glessner Ave, Mansfield, OH 44903-2226 |
| Elizabeth A Miller | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 375 W Main St, Ohiohealth Primary Care and Sports Medicine Physicians, Lexington, OH 44904-9770 |
| Emily L Exten | Orthopedic Surgery | Ohiohealth Regional Physician Services LLC | 24 Morris Rd, Suite 2, Shelby, OH 44875-1170 |
| Ryan C Kamp | Internal Medicine | Ohiohealth Regional Physician Services LLC | 199 W Main St 3rd Floor, Ohiohealth Heart and Vascular Physicians, Shelby, OH 44875-1490 |
| Jenny L Mckee | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 215 Wood St, Ohiohealth Surgical Specialists, Mansfield, OH 44903-2260 |
| Stella E Elder | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 248 Blymyer Ave, Mansfield, OH 44903-2306 |
| Mary E Alton | Cardiovascular Disease (cardiology) | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Annette Welker | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 558 S Trimble Rd, Mansfield, OH 44906-3418 |
| Stephen A Yoder | Orthopedic Surgery | Ohiohealth Regional Physician Services LLC | 45 Amberwood Pkwy, Ashland, OH 44805-9765 |
| Elizabeth A Brown | Pulmonary Disease | Ohiohealth Regional Physician Services LLC | 770 Balgreen Dr, Suite 107, Mansfield, OH 44906-4106 |
| Street Address |
335 GLESSNER AVE |
| City | MANSFIELD |
| State | OH |
| Zip | 44903-2269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Alton | Cardiovascular Disease (cardiology) | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Prity S Vaidya | Infectious Disease | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Ian Cragi Talbott | Pathology | Associated Pathology Laboratories Inc. | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Esther K Baumann | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Mansfield, Inc | 335 Glessner Ave, Mansfield, OH 44907 |
| Julie L Kiley | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Amy Joann Secor | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Mansfield, Inc | 335 Glessner Ave, Mansfield, OH 44907 |
| James P Bacon | Cardiovascular Disease (cardiology) | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Donna L Gorenflo | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Andrew Fahmy | Cardiovascular Disease (cardiology) | Ohiohealth Regional Physician Services LLC | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Pratik K Patel | Internal Medicine | Mid-state Physicians LLP | 335 Glessner Ave, Mansfield, OH 44903-2269 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad A Ahmed | Emergency Medicine | 390 Marion Ave, Mansfield, OH 44903-2015 | |
| Nyan Win | Internal Medicine | 480 Glessner Ave, Suite 3, Mansfield, OH 44903-2056 | |
| Jeffrey O Schwein | Podiatry | Schwein Foot and Ankle Clinic, Inc | 377 Marion Ave, Mansfield, OH 44903-2064 |
| Sunil J Vaidya | Pulmonary Disease | 427 Glessner Ave, Mansfield, OH 44903-2141 | |
| Robert A Denton | Pulmonary Disease | 391 Glessner Ave, Mansfield, OH 44903-2153 | |
| Yogesh K Desai | Psychiatry | 146 Marion Ave, Mansfield, OH 44903-2201 | |
| Carol A Sgambellone | Clinical Social Worker | Family Life Counseling and Psychiatric Services | 151 Marion Ave, Mansfield, OH 44903-2223 |
| Mary K Castor | Clinical Social Worker | Family Life Counseling and Psychiatric Services | 151 Marion Ave, Mansfield, OH 44903-2223 |
| Yohannes Bayissa | Interventional Cardiology | Ohiohealth Regional Physician Services LLC | 330 Glessner Ave, Mansfield, OH 44903-2226 |
| Jenny L Mckee | Nurse Practitioner | Ohiohealth Regional Physician Services LLC | 215 Wood St, Ohiohealth Surgical Specialists, Mansfield, OH 44903-2260 |
| Find all physicians in zip 44903 | |||
| City | MANSFIELD |
| Zip Code | 44903 |
| Specialty | NEUROLOGY |
| City + Specialty | MANSFIELD + NEUROLOGY |
Please comment or provide details below to improve the information on Gubert L 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.