DR. MANUEL PAVIA TAN (NPI# 1396939096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396939096 |
| Entity Type | Individual |
| Full Name | DR. MANUEL PAVIA TAN |
| Credential | M.D. |
| Practice Address |
4351 E Lohman Ave Ste 301 Las Cruces NM 88011-8259 |
| Practice Telephone | 5755328900 |
| Practice Fax Number | 5755328910 |
| Mailing Telephone | 5755328900 |
| Mailing Fax Number | 5755328910 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2008-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 93164 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | F9028 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962415471 | Manuel Ramos Tan | Emergency Medicine | 38 Laura Ave, Edison, NJ 08820-2114 | 2006-08-14 |
| 1174698070 | Manuel Nelson Tan | Anesthesiology | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2006-11-24 |
| Street Address |
4351 E LOHMAN AVE STE 301 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849310 | Surjit Reddy Moolamalla | Family Medicine | 4351 E Lohman Ave, Suite 401, Las Cruces, NM 88011-8259 | 2005-05-23 |
| 1174140362 | Sarbesh Rijal | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2020-07-03 |
| 1023633492 | Ekemini Benedict Usoro | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2020-06-11 |
| 1013440858 | Rachel Brandl | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2017-04-08 |
| 1952653180 | Cynthia Caranta | Nurse Practitioner | 4351 E Lohman Ave, Suite 202, Las Cruces, NM 88011-8259 | 2012-10-11 |
| 1487920757 | Compassionate Medicine of Southern Nm | Family Medicine | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2012-03-30 |
| 1134418247 | Sarah Linse Bienenfeld | Obstetrics & Gynecology | 4351 E Lohman Ave, Suite 402, Las Cruces, NM 88011-8259 | 2011-03-30 |
| 1598085680 | Jonathon Struemph | Orthopaedic Surgery | 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 | 2010-06-11 |
| 1497074850 | Las Cruces Cardiology, LLC | Internal Medicine | 4351 E Lohman Ave, Suite 101, Las Cruces, NM 88011-8258 | 2010-05-25 |
| 1184956922 | Pinnacle Family Healthcare | Family Medicine | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2010-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679711121 | Nicholas Nillo | General Practice | 307 Sanchez Pl, Las Cruces, NM 88005-3795 | 2009-01-21 |
| 1881719094 | Seth D Madell | General Practice | 142 S Water St, Las Cruces, NM 88001-1208 | 2007-03-20 |
| 1346319076 | Integrative Medical Center of New Mexico,pc | General Practice | 1155 Commerce Dr Ste C, Las Cruces, NM 88011-8257 | 2006-11-07 |
| 1538264528 | R & R Mildred H Rowley Md Inc | General Practice | 2435 South Telshor Blvd, Las Cruces, NM 88011-5029 | 2006-09-14 |
| 1538276142 | Benjamin G Diven | General Practice | Corner of Stewart and Breland, Student Health Center, Box 30001 Msc 3529, Las Cruces, NM 88003 | 2006-08-23 |
| 1649805037 | Epmed, Pa | General Practice | 880 S Telshor Blvd Ste 201, Las Cruces, NM 88011-8682 | 2020-03-06 |
| 1538622626 | Janson Rigby | General Practice | 4351 E Lohman Ave Ste 300, Las Cruces, NM 88011-8262 | 2019-04-07 |
| 1750820411 | Hope Surgical Medical Group, Inc. | General Practice | 2455 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2017-02-14 |
| 1023464989 | Eric Tyler Czer | General Practice | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2016-05-10 |
| 1538434576 | My Physician, Inc. | General Practice | 299 Montana Ave, Las Cruces, NM 88005-3223 | 2012-03-08 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on DR. MANUEL PAVIA TAN.
| 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.