NEHEMIAH T TAN (NPI# 1578520995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578520995 |
| Entity Type | Individual |
| Full Name | NEHEMIAH T TAN |
| Credential | M.D. |
| Practice Address |
102 W Kenwood Ave Ste 110 Decatur IL 62526-4300 |
| Mailing Address |
2499 N Monroe St Decatur IL 62526-3941 |
| Practice Telephone | 2178766880 |
| Practice Fax Number | 2178766885 |
| Mailing Telephone | 2178766880 |
| Mailing Fax Number | 2178766885 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036085107 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085107 | 05 |
| Street Address |
102 W KENWOOD AVE STE 110 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376534636 | Jeffrey Bruce Rounds | Specialist/Technologist | 102 W Kenwood Ave, Decatur, IL 62526-4300 | 2005-11-04 |
| 1497277263 | Jonathan Roderick Dutt | Family Medicine | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-07-12 |
| 1407376338 | Board of Trustees of Southern Illinois University | Clinic/Center | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-21 |
| 1992234504 | Nicole Gabriel Tenegra | Family Medicine | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-07 |
| 1811340979 | Aimen Naeem | Family Medicine | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2016-07-13 |
| 1528411683 | Hema Patel | Family Medicine | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2016-07-13 |
| 1578914867 | Deepti Sood | Family Medicine | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2016-06-28 |
| 1780065730 | Zeerak Qureshi | Family Medicine | 102 W Kenwood Ave, Ste 100, Decatur, IL 62526-4368 | 2015-06-16 |
| 1780076901 | Audra L Trump | Nurse Practitioner | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2015-02-25 |
| 1619396736 | Michael Knobeloch | Counselor | 102 W Kenwood Ave, Suite 120a, Decatur, IL 62526-4368 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1366525057 | Jefrey D Lieberman | Internal Medicine | 2712 N Decatur Road, Decatur, GA 30033 | 2006-10-24 |
| 1649281270 | Nehemiah Tan, Md, S.c. | Internal Medicine | 2499 N Monroe St, Decatur, IL 62526-4368 | 2006-08-10 |
| 1497762389 | Sanford Stuart Hartman | Internal Medicine | 2712 North Decatur Road, Decatur, GA 30033-5910 | 2006-08-02 |
| 1376951228 | Arthritis and Rheumatology Specialists, Pa | Internal Medicine | 2351 S Fm 51, Suite 100, Decatur, TX 76234-3777 | 2014-07-23 |
| 1568706653 | Ferhana Najam | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2012-11-15 |
| 1871812917 | Sanford S Hartman, Md PC | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2010-05-28 |
| 1164637401 | W. Hugh Spruell, Md, PC | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2007-05-11 |
| 1023183415 | Gary R Botstein Md | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2006-11-21 |
| 1710921556 | Ayesha Abdulkadar Iqbal | Internal Medicine | 1670 Clairmont Rd, Dept. of Rheumatology 111, Decatur, GA 30033-4004 | 2006-06-15 |
| 1003853177 | Gary Robert Botstein | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5930 | 2006-05-31 |
| Find all providers in DECATUR | ||||
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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.