DR. ALFONSO OLIVA TAN (NPI# 1407085210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407085210 |
| Entity Type | Individual |
| Full Name | DR. ALFONSO OLIVA TAN |
| Credential | MD |
| Practice Address |
305 Thora Circle Dr. Winchester OR 97495 |
| Mailing Address |
Po Box 534 Winchester OR 97495-0534 |
| Practice Telephone | 5416734516 |
| Mailing Telephone | 5416734516 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD13317 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295826519 | Alfonso A Tan | Internal Medicine | 6844 E Brown Rd, Ste 101, Mesa, AZ 85207 | 2006-09-28 |
| 1588689566 | Alfonso Tan | Internal Medicine | 297 W Main St, Sayville, NY 11782-2523 | 2006-07-12 |
| 1134296171 | Alfonso Tan IIi | Psychiatry & Neurology | 462 Grider St, 11th Floor, Buffalo, NY 14215-3021 | 2006-11-28 |
| Street Address |
305 THORA CIRCLE DR. |
| City | WINCHESTER |
| State | OR |
| Zip Code | 97495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508218082 | Catherine Berglund | Licensed Vocational Nurse | 120 Pebble Beach Ct, Winchester, OR 97495 | 2016-07-07 |
| 1215950365 | Timothy Franklin Funk | Nurse Practitioner | 119 Rae Chelle Ct, Winchester, OR 97495 | 2006-07-26 |
| 1629300579 | C. Weldon Fletcher | General Practice | 237 Aster Street, Winchester, OR 97495-8913 | 2010-02-03 |
| 1801342308 | Sumer Tougas | Massage Therapist | 234 Pioneer Way, Winchester, OR 97495-8983 | 2016-08-25 |
| 1447723846 | Kimberly Anne Allen | Massage Therapist | 338 Pioneer Way, Winchester, OR 97495-8984 | 2019-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104644 | Eunice Wanjugu Gachomo | Registered Nurse | 31620 Pompei Ln, Winchester, CA 92596-8695 | 2020-11-08 |
| 1821699745 | Stepanie Rush | Behavior Technician | 602 Battle Ave, Winchester, VA 22601-5629 | 2020-11-06 |
| 1427659275 | Zachary Charles Woodley | Pharmacist | 151 Canterbury Ln, Winchester, VA 22603-4320 | 2020-11-06 |
| 1023619350 | Sabrina Wolfe | Home Health Aide | 12576 Us Highway 62, Winchester, OH 45697-9665 | 2020-11-03 |
| 1073113270 | Nicole Danielle D'andrea | Physical Therapist | 573 Deer Creek Rd, Winchester, VA 22602-1647 | 2020-10-27 |
| 1760082135 | Amanda Lee Hill | Pharmacist | 2350 S Pleasant Valley Rd, Winchester, VA 22601-7006 | 2020-10-27 |
| 1871193391 | Christy Mcquade | Pharmacist | 820 Bypass Rd, Winchester, KY 40391-1002 | 2020-10-26 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1235738170 | Results-ast Jv, LLC | Physical Therapist | 2030 Cowan Highway, Suite 1, Winchester, TN 37398 | 2020-10-21 |
| 1174122154 | Lisa Marie Jones | Home Health Aide | 7760 Eckmansville Rd, Winchester, OH 45697-2505 | 2020-10-21 |
| Find all providers in WINCHESTER | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1619586427 | Mc Zaslow LLC | Internal Medicine | 955 Main St Ste 302, Winchester, MA 01890-4303 | 2020-07-28 |
| 1063038487 | Brian Vogel | Internal Medicine | 17a Park Ave, Winchester, MA 01890-2008 | 2020-06-22 |
| 1912422981 | Eko Internal Medicine | Internal Medicine | 2204 Cowan Hwy Ste B, Winchester, TN 37398-2627 | 2017-08-10 |
| 1952831133 | Ji-suk Moon | Internal Medicine | 220 Campus Blvd Ste 210, Winchester, VA 22601-2889 | 2017-06-19 |
| 1447603279 | Esilida Sula Karreci | Internal Medicine | 4 Verplast Ave, Winchester, MA 01890-1138 | 2016-07-17 |
| 1548652506 | Honest Medical Solutions, LLC | Internal Medicine | 511 Stonymeade Dr, Winchester, VA 22602-6673 | 2015-02-28 |
| 1801168463 | Reha Pokharel | Internal Medicine | 1867 Amherst St Ste 101, Winchester, VA 22601 | 2012-01-29 |
| 1518142991 | Adedoyin Akintide | Internal Medicine | 812 Amherst St Ste 201, Winchester, VA 22601-3344 | 2008-01-04 |
| 1578756912 | Ma Belinda Lu | Internal Medicine | 185 Hospital Rd Ste J, Winchester, TN 37398-2404 | 2007-08-20 |
| 1710181490 | Sujay Inampudi | Internal Medicine | 104 Selma Dr., Winchester, VA 22601 | 2007-06-14 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 97495 |
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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.