DR. ERIC PHILIP TANNENBAUM (NPI# 1235404526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235404526 |
| Entity Type | Individual |
| Full Name | DR. ERIC PHILIP TANNENBAUM |
| Credential | M.D. |
| Practice Address |
940 N Marr Rd Ste C Columbus IN 47201 |
| Mailing Address |
940 N Marr Rd Ste C Columbus IN 47201-2610 |
| Practice Telephone | 8123769353 |
| Mailing Telephone | 8123769353 |
| Mailing Fax Number | 8123763757 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2018-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
01079665A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E Medical Center Dr, Ann Arbor, MI 481095000 | 6304088266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134596950 | Eric Tannenbaum | Physical Therapist | 2500 Morris Ave Ste 200, Union, NJ 07083-5675 | 2015-08-27 |
| 1982649315 | Eric S Tannenbaum | Internal Medicine | 15225 Shady Grove Rd, Suite 201, Rockville, MD 20850-3254 | 2006-06-19 |
| Street Address |
940 N MARR RD STE C |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023662327 | Emily L Sedler | Physician Assistant | 940 N Marr Rd Ste C, Columbus, IN 47201-2610 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| 1154586030 | Jennifer R. Hartwell | Pediatrics | 1120 North Marr Road, Columbus, IN 47201 | 2008-07-21 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881661106 | Orthopedics and Sports Medicine Incorporated | Orthopaedic Surgery | 165 N Murray Hill Rd, Columbus, OH 43228 | 2006-03-06 |
| 1437521291 | Columbus Shoulder Surgery & Sports Medicine LLC | Orthopaedic Surgery | 2045 Centre Stone Ct, Ste A, Columbus, GA 31904-4561 | 2015-10-20 |
| 1982013678 | Mark Francis Sommerfeldt | Orthopaedic Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2014-08-06 |
| 1154563385 | St. Luke's Physician Network Inc. | Orthopaedic Surgery | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2009-04-02 |
| 1700053857 | John Mark Ryan | Orthopaedic Surgery | 543 Taylor Ave, Columbus, OH 43203-1278 | 2008-05-08 |
| 1366599227 | Robert Andrew Magnussen | Orthopaedic Surgery | 2050 Kenny Rd, Pavillion Suite 3100, Columbus, OH 43221-3502 | 2007-01-04 |
| 1730117854 | John W Mcgrail | Orthopaedic Surgery | 543 Taylor Ave Fl 1, Columbus, OH 43203-1278 | 2006-06-29 |
| 1487682670 | Cary M Guse | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-28 |
| 1578502530 | Kurt E. Jacobson | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2006-06-05 |
| 1285692228 | Osu Sports Medicine Center | Orthopaedic Surgery | 2050 Kenny Rd, Third Floor, Columbus, OH 43221-3502 | 2006-05-01 |
| Find all providers in COLUMBUS | ||||
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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.