THOMAS B TAN


Address: Rapid City Regional Hospital, 353 Fairmont Blvd., Rapid City, SD 57701
Phone: 8502321165

THOMAS B TAN (NPI# 1275528382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275528382
Entity Type Individual
Full Name THOMAS B TAN
Credential MD
Practice Address Rapid City Regional Hospital
353 Fairmont Blvd.
Rapid City
SD 57701
Mailing Address 4724 N Davis Hwy
Pensacola
FL 32503-2339
Practice Telephone 8502321165
Mailing Telephone 8506964000
Mailing Fax Number 8504342647
Enumeration Date 2005-09-14
Last Update Date 2020-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
62467 FL Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
17614 AL Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
H2823 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL AL MEDICAID- N DAVIS 110883 01
AL AL MEDICAID- WEST FLORIDA OFFICE 110905 01
FL 371163300 05
AL AL MEDICAID- FOLEY 109896 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2717 Michaelangelo Dr Ste 200, Edinburg, TX 785391412 9563622250 9563622251

Other Providers THOMAS TAN

NPI Name Taxonomy Address Enumeration
1417189184 Thomas Chang Tan Emergency Medicine 6750 West Loop S, Suite 950, Bellaire, TX 77401-4103 2009-08-14
1114089497 Thomas Hie-lar Tan Physical Therapist 94-370 Pupupani St, Waipahu, HI 96797-2657 2006-12-14
1447328620 Thomas Ka Shun Tan Internal Medicine 2228 Liliha St, Suite #103, Honolulu, HI 96817-1650 2006-12-04
1285708347 Thomas Uy Tan Internal Medicine 7103 W Grandridge Blvd, Suite D, Kennewick, WA 99336-6713 2006-11-20
1215018700 Thomas Tan Psychiatry & Neurology 4110 Guadalupe St, Attn: Reimbursement, Austin, TX 78751-4223 2006-10-18

Office Location

Street Address RAPID CITY REGIONAL HOSPITAL
353 FAIRMONT BLVD.
City RAPID CITY
State SD
Zip Code 57701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649286444 Kenneth Bryan Schulz Registered Nurse Rapid City Regional Hospital, 353 Fairmont Blvd, Rapid City, SD 57701 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528623345 Julie Maas Counselor 625 1/2 Main St, Suite 1, Rapid City, SD 57701 2019-05-07
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1902300247 Theresa Gibbens Speech-Language Pathologist 3301 Grandview Drive, Rapid City, SD 57701 2018-03-21
1407355423 Arielle Leigh Loveridge Chiropractor 610 East Boulevard, Suite 1, Rapid City, SD 57701 2018-02-05
1083125082 Sarah Kirschman Nurse Practitioner 353 Fairmont Boulvevard, Rapid City, SD 57701 2017-10-17
1992225239 Kelsey Elizabeth Wondercheck Dentist 717 Meade Street, Suite 200, Rapid City, SD 57701 2017-06-27
1316476088 Rhianna Wickett Physical Therapist 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 2017-06-07
1841727773 Cynthia A Gates Dietitian, Registered 2908 5th Street, Rapid City, SD 57701 2017-05-23
1811447758 Alyssa Marquardt Psychologist 433 Mt. Rushmore Road, Rapid City, SD 57701 2016-10-04
1578913232 .indian Health Service Clinic/Center 241 East Meade St, Rapid City, SD 57701 2016-06-14
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063787083 Rapid City Regional Hospital Inc Internal Medicine 353 Fairmont Blvd, Rapid City, SD 57701-7375 2012-03-09
1275760860 James A Kuzman Internal Medicine 353 Fairmont Blvd, Rapid City, SD 57701-7375 2009-06-22
1518946508 Kathryn A Arrambide Internal Medicine 353 Fairmont Blvd, Rapid City, SD 57701 2006-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568986040 Avera Queen of Peace Internal Medicine 605 N Foster St Ste 100, Mitchell, SD 57301-2902 2017-07-27
1336483551 Avera St. Luke's Internal Medicine 310 S Penn St Ste 106, Aberdeen, SD 57401-4553 2012-11-15
1184935652 Houman Nourkeyhani Internal Medicine 1000 E 23rd St Ste 230, Sioux Falls, SD 57105-2122 2010-06-29
1518148535 Richard J Conklin, Md Internal Medicine 620 3rd Ave Se, Aberdeen, SD 57401-4507 2007-11-19
1124017256 Michael Stephen Mchale Internal Medicine 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 2005-10-20
1437155140 Miroslaw A Mazurczak Internal Medicine 1309 W 17th St, Ste 101, Sioux Falls, SD 57104-8805 2005-06-27
1851394662 Richard J Conklin Internal Medicine 310 S Penn St, Suite 105, Aberdeen, SD 57401-4553 2005-05-24
1457831497 Conklin Clinics, Prof LLC Internal Medicine 1409 6th Ave Se Ste 5, Aberdeen, SD 57401-4950 2018-08-20
1164780201 Avera Mckennan Internal Medicine 3720 W 69th St, Sioux Falls, SD 57108-8192 2012-04-26
1912285560 Purva Sharma Internal Medicine 1104 W 8th St, Yankton, SD 57078-3306 2011-08-01
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Competitor

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City RAPID CITY
Zip Code 57701

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Dataset Information

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.

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