DR. ENRICO TAN (NPI# 1346260429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346260429 |
Entity Type | Individual |
Full Name | DR. ENRICO TAN |
Credential | D.P.M. |
Practice Address |
410 E State St Athens OH 45701-1819 |
Practice Telephone | 7405922366 |
Practice Fax Number | 7405942871 |
Mailing Telephone | 7405922366 |
Mailing Fax Number | 7405942871 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2011-02-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 36002613 | OH | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0765159 | 05 | |
OH | ANTHEM BC/BS PROV NUMBER | 000000123607 | 01 |
OH | DMERC | 0784560001 | 01 |
Street Address |
410 E STATE ST |
City | ATHENS |
State | OH |
Zip Code | 45701-1819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245569532 | Imber Coppinger, D.o., LLC | Clinic/Center | 410 E State St, Athens, OH 45701-1819 | 2009-12-15 |
1083775795 | Timothy Vincent Monroe | Dentist | 410 E State St, Athens, OH 45701-1819 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
Find all providers in zip 45701 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154836708 | Advanced Foot Care, LLP | Podiatrist | 705 Cook Dr Ste 200, Athens, TN 37303-3494 | 2017-12-05 |
1114257441 | Foot Clinic of East Texas, PC | Podiatrist | 612 Maryland Dr, Athens, TX 75751-3332 | 2010-01-08 |
1023135027 | Uren,dr.k Scott Dba Athens Podiatry Center | Podiatrist | 910 W Hobbs St, Athens, AL 35611-1412 | 2007-03-23 |
1225003064 | Marshall Todd Herron | Podiatrist | 230 Cedar Pointe Dr, Athens, GA 30605-3339 | 2006-02-22 |
1447235627 | Nels Arvid Vasenden | Podiatrist | 298 Prince Ave, Athens, GA 30601-2445 | 2005-12-12 |
1518960855 | Clair L. Bello IIi | Podiatrist | 705 Cook Dr. Suite 200, My Foot Doctor Pllc, Athens, TN 37303 | 2005-05-31 |
1477872083 | Peninnah Kumar | Podiatrist | 1270 Prince Ave, Athens, GA 30606-2762 | 2010-05-21 |
1609045749 | North Alabama Foot Care LLC | Podiatrist | 910 W Hobbs St, Athens, AL 35611-1412 | 2008-02-22 |
1184892564 | Earl L. Driggs | Podiatrist | 75 Hospital Dr, Suite 340, Athens, OH 45701-2857 | 2008-02-19 |
1003012808 | Achilles Foot Center Psc | Podiatrist | 417 N Main St, Athens, PA 18810-1817 | 2007-06-27 |
Find all providers in ATHENS |
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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.