DR. MARK HARRIS TANENBAUM (NPI# 1093817298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093817298 |
| Entity Type | Individual |
| Full Name | DR. MARK HARRIS TANENBAUM |
| Credential | MD |
| Practice Address |
760 Brookhaven Circle Memphis TN 38117 |
| Practice Telephone | 9017610500 |
| Practice Fax Number | 9017610537 |
| Mailing Telephone | 9017610500 |
| Mailing Fax Number | 9017610537 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0000004983 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929247 | Mark P. Tanenbaum | Internal Medicine | 4660 Kenmore Ave Ste 1200, Alexandria, VA 22304-1311 | 2005-06-01 |
| 1689656399 | Mark Tanenbaum | Podiatrist | 1648 E 14th St, Brooklyn, NY 11229-1175 | 2005-11-17 |
| Street Address |
760 BROOKHAVEN CIRCLE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477806909 | Mary Christine Moore | Nurse Practitioner | 760 Brookhaven Circle, Memphis, TN 38117-4502 | 2012-10-22 |
| 1144413147 | Tanenbaum Dermatology Center Plc | Dermatology | 760 Brookhaven Circle, Memphis, TN 38117-4504 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315373 | Robert J Kaplan, Md Pllc | Dermatology | 6401 Poplar Ave Ste 330, Memphis, TN 38119-4806 | 2014-12-18 |
| 1376892950 | Joshua W Cash | Dermatology | 6254 Poplar Ave, Memphis, TN 38119-4713 | 2012-08-29 |
| 1649493123 | Tejesh Patel | Dermatology | 930 Madison Ave Ste 801, Memphis, TN 38103-3410 | 2007-04-11 |
| 1114023611 | Alan Harris Tanenbaum | Dermatology | 760 E Brookhaven Cir, Memphis, TN 38117-4502 | 2006-09-15 |
| 1831185677 | Charles Franklin Safley Jr. | Dermatology | 3814 Woodland Dr, Memphis, TN 38111 | 2005-09-27 |
| 1679937999 | Alexandra Dee Maxted Chantara | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2016-04-12 |
| 1619313756 | Whitney Gadd Shroyer | Dermatology | 910 Madison Ave Ste 1031, Memphis, TN 38103-3403 | 2013-05-15 |
| 1699119719 | Allison Vaughan Jones | Dermatology | 930 Madison Ave Ste 801, Memphis, TN 38163 | 2013-04-19 |
| 1376800979 | Joseph Pietrangelo | Dermatology | 1455 Union Ave, Memphis Dermatology Clinic, Memphis, TN 38104-6727 | 2012-04-19 |
| 1720378169 | Cesar Enrique Guerrero | Dermatology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2011-04-18 |
| Find all providers in MEMPHIS | ||||
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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.