CHRISTOPHER CABRERA TAN (NPI# 1124680905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124680905 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER CABRERA TAN |
| Credential | MD |
| Practice Address |
205 N. East Ave. Gme - 2nd Floor Cab Jackson MI 49203-1753 |
| Practice Telephone | 5172057147 |
| Practice Fax Number | 5172057050 |
| Mailing Telephone | 5172057147 |
| Mailing Fax Number | 5172057050 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4351045290 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902602 | Christopher Adi Tan | Pediatrics | 790 E Willow St Ste 150, Long Beach, CA 90806-2719 | 2005-06-17 |
| 1073017661 | Christopher Hou-guan Tan | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 01161b, Temple, TX 76508-0001 | 2018-03-20 |
| 1588105894 | Christopher Michael Tan | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2017-03-20 |
| 1720328727 | Christopher V Tan | Physical Therapist | 2701 Lake Alfred Rd, Winter Haven, FL 33881-1432 | 2013-02-27 |
| 1821311887 | Christopher Tan | Student in an Organized Health Care Education/Training Program | 393 E Walnut St, Pasadena, CA 91188-0001 | 2010-03-05 |
| 1861694564 | Christopher D. Tan | Pharmacist | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2007-06-04 |
| Street Address |
205 N. EAST AVE. GME - 2ND FLOOR CAB |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356591382 | Lori Kathryn Brickner | Physician Assistant | 205 N. East Ave., Jackson, MI 49201 | 2008-09-26 |
| 1417509738 | Lama Al Jebbawi | Student in an Organized Health Care Education/Training Program | 205 N. East Ave., Gme, 2nd Floor Cab, Jackson, MI 49201 | 2019-07-16 |
| 1649822347 | Colin Daniel Brien | Student in an Organized Health Care Education/Training Program | 205 N. East Ave., Gme, 2nd Floor, Cab, Jackson, MI 49201-1753 | 2019-07-12 |
| 1225680978 | Hassan Liaqat | Student in an Organized Health Care Education/Training Program | 205 N. East Ave., Gme, 2nd Floor Cab, Jackson, MI 49201 | 2019-07-12 |
| 1013496553 | Ahmed M.a. Altibi | Student in an Organized Health Care Education/Training Program | 205 N. East Ave., 2nd Floor, Anderson Building, Jackson, MI 49201 | 2018-08-07 |
| 1225514102 | Alexander Antoni Slota | Student in an Organized Health Care Education/Training Program | 205 N. East Ave., 2nd Floor Anderson Building, Jackson, MI 49201 | 2018-07-13 |
| 1518453422 | Priyanka Vishwanath Gogte | Student in an Organized Health Care Education/Training Program | 205 N. East Ave., 2nd Floor Anderson Building, Jackson, MI 49201 | 2018-07-03 |
| 1639609597 | Mandeep Singh Malik | Internal Medicine | 205 N. East Ave., Jackson, MI 49201 | 2017-06-14 |
| 1598203655 | W.a. Foote Memorial Hospital, Inc. | Internal Medicine | 205 N. East Ave., Jackson, MI 49201 | 2017-02-08 |
| 1649717448 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N. East Ave., Jackson, MI 49201 | 2017-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
| 1578176053 | Breanna Christina Wade | Student in an Organized Health Care Education/Training Program | 1647 Robinson St Apt B, Jackson, MS 39209-6424 | 2020-08-25 |
| 1730798240 | Taylor Michael Smith | Student in an Organized Health Care Education/Training Program | 21 Windfield Cv, Jackson, TN 38305-9778 | 2020-07-30 |
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1922620855 | Madison K Heine | Student in an Organized Health Care Education/Training Program | Univ. of Mississippi Medical Center, School of Dentistry, Jackson, MS 39216-3921 | 2020-05-14 |
| 1083236210 | Juvell Nicole Burris | Student in an Organized Health Care Education/Training Program | 802 Lakeland Dr Apt 104, Jackson, MS 39216-4613 | 2020-05-11 |
| 1316569742 | Monieca Michelle Mcnair | Student in an Organized Health Care Education/Training Program | 635 Nakoma Dr, Jackson, MS 39206-3335 | 2020-05-07 |
| 1760011480 | Kandice Bailey | Student in an Organized Health Care Education/Training Program | 915 Bellevue Pl, Jackson, MS 39202-2702 | 2020-04-04 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| Find all providers in JACKSON | ||||
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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.