JEREMY F TAN (NPI# 1124387626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124387626 |
| Entity Type | Individual |
| Full Name | JEREMY F TAN |
| Credential | M.D. |
| Practice Address |
608 Stanton L Young Blvd Oklahoma City OK 73104 |
| Mailing Address |
608 Stanton L Young Blvd Oklahoma City OK 73104-5065 |
| Practice Telephone | 4052716060 |
| Practice Fax Number | 4052713013 |
| Mailing Telephone | 4052716060 |
| Mailing Fax Number | 4052713013 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 29985 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT201060 | PA | Student, Health Care |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
29985 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200504570B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1005 Medical Park Blvd, Edmond, OK 730133025 | 4052710913 | 4052710914 |
| 262 Neil Ave, Suite 430, Columbus, OH 432157309 | 6142217464 | 6142218117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837889 | Jeremy Tan | Physical Therapist | 505 S Friendswood Dr Ste 101, Friendswood, TX 77546-2254 | 2020-10-06 |
| 1245256023 | Jeremy Mark Tan | Psychiatry & Neurology | 1600 N Lorraine St, Ste 202, Hutchinson, KS 67501-5670 | 2006-07-14 |
| Street Address |
608 STANTON L YOUNG BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013998681 | Cynthia A Bradford | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2005-11-09 |
| 1023675501 | Cynthia K Mcclard | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2019-05-21 |
| 1730648551 | Christian Alberto Leal | Student in an Organized Health Care Education/Training Program | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2019-03-19 |
| 1295294346 | Tyler Christian Friske | Ophthalmology | 608 Stanton L Young Blvd, Dmei 509, Oklahoma City, OK 73104 | 2019-03-18 |
| 1235617051 | Farzad Jamshidi | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2018-08-02 |
| 1558867143 | Jon Christian Berry | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2018-04-02 |
| 1336643022 | Rupin Nitin Parikh | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2018-03-19 |
| 1023548328 | Jila Noorikolouri | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5065 | 2017-06-19 |
| 1740711357 | Alice Yon Kim | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2017-03-24 |
| 1598218372 | Gerta Mane | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057543 | Diana Tamboli Md LLC | Ophthalmology | 16315 N May Ave, Edmond, OK 73013-8892 | 2020-03-06 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on JEREMY F TAN.
| 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.