PROF. DAVID JONATHAN TAN (NPI# 1467752402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467752402 |
| Entity Type | Individual |
| Full Name | PROF. DAVID JONATHAN TAN |
| Credential | PA-C |
| Practice Address |
2940 Rollingridge Rd Suite 102 Naperville IL 60564-4231 |
| Mailing Address |
550 W Ogden Ave Hinsdale IL 60521-3186 |
| Practice Telephone | 6305796500 |
| Practice Fax Number | 6305795860 |
| Mailing Telephone | 6305796500 |
| Mailing Fax Number | 6305795860 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085004064 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467012229 | David Tan | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2019-06-14 |
| 1548519796 | David Stephen Tan | Marriage & Family Therapist | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2012-09-04 |
| 1093731309 | David Tan | Emergency Medicine | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2006-07-14 |
| 1548207863 | David Tan | Emergency Medicine | 4422 3rd Ave, Care of Er Department, Bronx, NY 10457-2545 | 2006-06-02 |
| Street Address |
2940 ROLLINGRIDGE RD SUITE 102 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874684 | Giridhar Burra | Orthopaedic Surgery | 2940 Rollingridge Rd, Suite 102, Naperville, IL 60564-4231 | 2005-07-13 |
| 1023557956 | Hinsdale Orthopaedics Sc | Specialist/Technologist | 2940 Rollingridge Rd, Naperville, IL 60564-4231 | 2017-02-12 |
| 1740728575 | Shannon Thomas | Physical Therapist | 2940 Rollingridge Rd, Suite 101, Naperville, IL 60564-4231 | 2017-01-31 |
| 1215485099 | Kelly Cross | Physical Therapist | 2940 Rollingridge Rd, Suite 101, Naperville, IL 60564-4231 | 2016-09-21 |
| 1003211160 | Jennifer Lynn Bren | Physician Assistant | 2940 Rollingridge Rd, Suite 201, Naperville, IL 60564-4231 | 2014-10-30 |
| 1982003364 | Elizabeth Marquez | Physical Therapist | 2940 Rollingridge Rd, Ste 101, Naperville, IL 60564-4231 | 2014-08-21 |
| 1265866826 | Amanda M Bachman | Physical Therapist | 2940 Rollingridge Rd, 101, Naperville, IL 60564-4231 | 2013-08-30 |
| 1902239767 | Emily Page | Specialist/Technologist | 2940 Rollingridge Rd, Naperville, IL 60564-4231 | 2013-08-15 |
| 1659711158 | Amanda Nicole Schlitt | Physical Therapist | 2940 Rollingridge Rd, Suite 101, Naperville, IL 60564-4231 | 2013-06-28 |
| 1922354885 | Elisha N Gulledge | Physical Therapist | 2940 Rollingridge Rd, Suite 101, Naperville, IL 60564-4231 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619242559 | James Edward Pressley II | Physician Assistant | 28w767 Leverenz Rd # 7, Naperville, IL 60564-8969 | 2012-03-10 |
| 1194229765 | Roksolana Zaderetskii | Physician Assistant | 801 S Washington St Fl 4, Naperville, IL 60540-7430 | 2018-03-20 |
| 1457864506 | Jessica Berg | Physician Assistant | 120 Spalding Dr Ste 207, Naperville, IL 60540-6520 | 2017-11-12 |
| 1255755617 | Melissa Ricks | Physician Assistant | 120 Spalding Dr, Suite 400, Naperville, IL 60540-6508 | 2014-02-05 |
| 1699073585 | Asen Asenov | Physician Assistant | 608 S Washington St Ste 204, Naperville, IL 60540-6675 | 2011-03-02 |
| 1336445717 | Katerina Diana Shull | Physician Assistant | 100 Spalding Dr, Suite 300, Naperville, IL 60540-6550 | 2011-02-02 |
| 1306160841 | Agnes Agustin Luz | Physician Assistant | 608 S Washington St, Naperville, IL 60540-6663 | 2010-03-25 |
| 1558484337 | Christopher Casey Mcgee | Physician Assistant | 120 Spalding Dr, Ste 400, Naperville, IL 60540-6508 | 2007-04-09 |
| 1255341681 | Misty Wessing | Physician Assistant | 1259 Rickert Dr, Suite #200, Naperville, IL 60540-8902 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
Please comment or provide details below to improve the information on PROF. DAVID JONATHAN 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.