Wilson S Tan (NPI# 1508844382, PAC ID# 6901834480) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1508844382 |
| PAC ID by PECOS | 6901834480 |
| Professional Enrollment ID | I20050728000926 |
| Full Name | Wilson S Tan |
| Organization Legal Name | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| Address |
2060 Carlisle Rd Aspers PA 17304-9707 |
| Phone Number | 7173374103 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0648257733 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390065 | GETTYSBURG HOSPITAL |
| 390046 | YORK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2060 Carlisle Rd, Aspers, PA 17304-9707 | 7173374103 | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| 147 Gettys St, Gettysburg, PA 17325-2534 | 7173371105 | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| 18 Deatrick Dr, Gettysburg, PA 17325-6958 | 7173392500 | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| 40 V Twin Dr, Gettysburg, PA 17325-7875 | 7173374103 | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| Organization Legal Name | GETTYSBURG DIAGNOSTIC IMAGING, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Spagnoli | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Amy Beth Garazo | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Tennyson Maliro | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Tanya Geiger Bromery | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Rukhsana K Rahman | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 147 Gettys St, Gettysburg, PA 17325-2534 |
| Street Address |
2060 CARLISLE RD |
| City | ASPERS |
| State | PA |
| Zip | 17304-9707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Edgar Walther | Family Medicine | Wellspan Medical Group | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Orville G Mcbeth | Family Medicine | Wellspan Medical Group | 2060 Carlisle Rd, Biglerville Family Medicine, Aspers, PA 17304-9707 |
| Marie Spagnoli | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Amy Beth Garazo | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| David L Wampler | Family Medicine | Wellspan Medical Group | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Emily G Hahn | Physician Assistant | Wellspan Medical Group | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Mary E Hoff | Nurse Practitioner | Wellspan Medical Group | 2060 Carlisle Rd, Biglerville Family Medicine, Aspers, PA 17304-9707 |
| Rachel Wallace | Nurse Practitioner | Wellspan Medical Group | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| Tanya Geiger Bromery | Diagnostic Radiology | Gettysburg Diagnostic Imaging, PC | 2060 Carlisle Rd, Aspers, PA 17304-9707 |
| City | ASPERS |
| Zip Code | 17304 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ASPERS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Wilson S 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.