DR. JOSEFINA C. TAN (NPI# 1689737397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689737397 |
| Entity Type | Individual |
| Full Name | DR. JOSEFINA C. TAN |
| Credential | M.D. |
| Practice Address |
106 E Broad St Savannah GA 31401-2917 |
| Practice Telephone | 9125271000 |
| Mailing Telephone | 9125271000 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 019193 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIGROUP | 10063432 | 01 | |
| GA | 469298310A | 05 |
| Street Address |
106 E BROAD ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228038 | Alvin Deron Jackson | Family Medicine | 106 E Broad St, Savannah, GA 31401-2917 | 2006-01-04 |
| 1013552504 | Anquetta Monique Cooper | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-08 |
| 1225672041 | Victoria D Forbes | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-05 |
| 1225689540 | Tonya Davis | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-09-27 |
| 1467967877 | Laquita Holt | Dentist | 106 E Broad St, Savannah, GA 31401-2917 | 2017-12-07 |
| 1366963837 | Wendelyn Monique Brown | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-07-05 |
| 1346776002 | Nancy Flategraff | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-05-02 |
| 1689109266 | Torrie Charell Battle | Dentist | 106 E Broad St, Savannah, GA 31401-2917 | 2017-04-20 |
| 1447798988 | Michelle Dubberly-hobart | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-02-04 |
| 1649714981 | Adrian Elam | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513217 | Cherica Jones | General Practice | 7805 Waters Ave Ste 3b, Savannah, GA 31406-2443 | 2019-02-05 |
| 1740706449 | Stacy Jane Slaght | General Practice | 151 Three Mast Ct, Savannah, GA 31410 | 2017-08-15 |
| 1649691338 | Philip Joseph Keating | General Practice | 25 W Perry St, Savannah, GA 31401-3951 | 2013-12-23 |
| 1902157902 | Donald Lyle Gates | General Practice | 6602 Abercorn Street, Suite 102, Savannah, GA 31405 | 2012-10-01 |
| 1205152311 | Lori Danielle Lynch | General Practice | 3 Johnston St, Savannah, GA 31405-5502 | 2010-04-14 |
| 1487887154 | Donald Hosford Bailey | General Practice | 463 Johnny Mercer Blvd, Suite B7 #331, Savannah, GA 31410-2167 | 2009-08-28 |
| 1174705073 | First Choice Wellness and Physical Medicine | General Practice | 340 Eisenhower Dr Ste 610, Savannah, GA 31406-1616 | 2007-12-03 |
| 1578779054 | Myra Mccoy Pope | General Practice | 2507 Little John Ct, Savannah, GA 31406-4124 | 2007-05-14 |
| 1518984194 | Michael Lewis Smith | General Practice | 255 Wayne Rd Ste B, Savannah, TN 38372-1948 | 2006-07-17 |
| 1790718898 | River City Convenient Care | General Practice | 1960 Pickwick St, Savannah, TN 38372-5309 | 2006-07-09 |
| Find all providers in SAVANNAH | ||||
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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.