DR. JOHN CHRISTOPHER FORMOSO TANG (NPI# 1346458825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346458825 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHRISTOPHER FORMOSO TANG |
| Credential | D.O. |
| Practice Address |
550 University Blvd Ste 3124 Indianapolis IN 46202-5149 |
| Mailing Address |
12965 Saxony Blvd Fishers IN 46037-6258 |
| Practice Telephone | 3179447422 |
| Practice Fax Number | 3179441497 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5101015998 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
02003779A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201012180 | 05 | |
| IN | MEDICARE PTAN | M400039154 | 01 |
| Street Address |
550 UNIVERSITY BLVD STE 3124 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265773113 | Michael Sai Lai Sey | Internal Medicine | 550 N. University Blvd, Suite 4100, Indiana University Hospital, Indianapolis, IN 46202 | 2013-03-01 |
| 1649531062 | Kavish Rohit Patidar | Internal Medicine | 702 Rotary Cir Ste 225, Indianapolis, IN 46202-5133 | 2012-06-01 |
| 1033442991 | Dana Charles Moffatt | Internal Medicine | 359 N West St, Apt 284, Indianapolis, IN 46202-4207 | 2009-09-10 |
| 1710181292 | Christen K Dilly | Internal Medicine | 1050 Wishard Blvd Ste Rg4100, Indianapolis, IN 46202-2872 | 2007-06-11 |
| 1699982579 | Joseph A Katz | Internal Medicine | 1400 N Ritter Ave Ste 210, Indianapolis, IN 46219-3046 | 2007-05-17 |
| 1154540474 | Kashif Ahmed | Internal Medicine | 1801 N Senate Blvd Ste 400, Indianapolis, IN 46202-1245 | 2007-04-25 |
| 1033237177 | Haritha Avula | Internal Medicine | 4100 University Blvd, Indianapolis, IN 46202 | 2007-03-27 |
| 1699743518 | Stephen James Carlson | Internal Medicine | 7950 N Shadeland Avenue, Suite 350, Indianapolis, IN 46250 | 2006-03-08 |
| 1629045042 | Eldred Hugh Macdonell Jr. | Internal Medicine | 1400 N. Ritter Ave., Suite 370, Indianapolis, IN 46219-3098 | 2006-03-03 |
| 1982671384 | David Lowry Bash | Internal Medicine | 1400 N Ritter Avenue, Suite 370, Indianapolis, IN 46219 | 2006-03-03 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.