DR. TIFFANY J TAM (NPI# 1750794954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750794954 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY J TAM |
| Credential | MD |
| Practice Address |
220 Hovey Rd Pensacola FL 32508-1044 |
| Mailing Address |
220 Hovey Rd Pensacola FL 32508-1047 |
| Practice Telephone | 8504522933 |
| Practice Fax Number | 8504523842 |
| Mailing Telephone | 8504529484 |
| Mailing Fax Number | 8504523842 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 171000000X | Military Health Care Provider | VA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 921345000 | 6195326400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548899560 | Tiffany Tam | Occupational Therapist | 320 Tesconi Cir, Santa Rosa, CA 95401-4611 | 2020-04-02 |
| 1194034413 | Tiffany Y Tam | Radiology | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-10-04 |
| Street Address |
220 HOVEY RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32508-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891772091 | Blaine Michael Powell | Family Medicine | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2005-12-28 |
| 1669913497 | Colleen Marie Cook | Military Hospital | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2017-03-13 |
| 1790131316 | Camille Amede Eggebroten | Student in an Organized Health Care Education/Training Program | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2016-05-12 |
| 1881055994 | Elbert Maloney IIi | General Practice | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2016-03-16 |
| 1942681002 | Jay Belmarez | Family Medicine | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2015-06-15 |
| 1548509631 | Arneh Babakhani | Internal Medicine | 220 Hovey Rd, Pensacola, FL 32508-1047 | 2013-02-08 |
| 1285996801 | Richard A Kemp | General Practice | 220 Hovey Rd, Pensacola, FL 32508-1047 | 2012-06-10 |
| 1013277300 | Fabian Javier Rohena | Preventive Medicine | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2012-05-21 |
| 1346537008 | Juan David Guerra | Student in an Organized Health Care Education/Training Program | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2011-07-01 |
| 1346535879 | Jennifer L Hunt | Preventive Medicine | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2011-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851598510 | Matthew Henry Hoefer | Preventive Medicine | Naval Aerospace Medical Institute- Code 33, 340 Hulse Road, Pensacola, FL 32508 | 2007-06-27 |
| 1891917035 | Lillie Olivia Johnson | Social Worker | Fleet and Family Support Center Building 625 Nas, 151 Ellyson Ave, Pensacola, FL 32508 | 2007-05-03 |
| 1033272372 | Andrew P Doan | Ophthalmology | Naval Aerospace Medicine Institute, 340 Hulse Road, Pensacola, FL 32508 | 2006-12-18 |
| 1689601361 | Bruce Allan Waterman | Emergency Medicine | Nmotc, 220 Hovey Rd, Pensacola, FL 32508 | 2006-06-27 |
| 1346203601 | Richard Alan Beane | Preventive Medicine | 320 Hovey Rd, Naval Air Station Pensacola, Pensacola, FL 32508 | 2006-04-08 |
| 1629040837 | Juan C. Dapena | Family Medicine | 220 Hovey Rd Bldg 488, Pensacola, FL 32508 | 2006-02-02 |
| 1417935586 | Kimberly Kay Gullickson | Audiologist | 450 Turner Street, Branch Health Clinic Naval Air Station, Pensacola, FL 32508 | 2006-01-09 |
| 1164419578 | Michael Matthew Jacobs | Family Medicine | 340 Hulse Road, Naval Aerospace Medical Institute (nami), Pensacola, FL 32508 | 2005-09-30 |
| 1679917033 | Lawrence Coronel Jimenez | Military Health Care Provider | 760 East Ave Bldg 3911, Pensacola, FL 32508 | 2013-04-28 |
| 1215276191 | Hoyt Harris Reynolds | General Practice | 450 Turner St, Naval Air Station Pensacola Branch Health Clinic, Pensacola, FL 32508 | 2013-02-12 |
| Find all providers in zip 32508 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780063644 | Samuel Herman | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98, Pensacola, FL 32512-0001 | 2015-05-26 |
| 1659612240 | Andrew J Wright | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98 Hwy, Pensacola, FL 32512 | 2013-03-07 |
| 1821008806 | Maria Agustin | Military Health Care Provider | 4614 Baybrook Dr, Pensacola, FL 32514-7812 | 2006-08-09 |
| 1174589030 | Victor Stone | Military Health Care Provider | 1602 Governors Dr, Apt 2624, Pensacola, FL 32514-9442 | 2006-04-20 |
| 1871557009 | Joseph Bennett Thies | Military Health Care Provider | 11001 Gulf Beach Hwy, Pensacola, FL 32507-9129 | 2006-04-14 |
| 1144294760 | Leah K Soley | Military Health Care Provider | 8532 Foxtail Loop, Pensacola, FL 32526-3239 | 2006-02-13 |
| 1619957719 | Richard Allen Knittig | Military Health Care Provider | 16658 Perdido Key Dr, 303, Pensacola, FL 32507-9322 | 2006-01-17 |
| 1538412325 | Matthew Francis Regan | Military Health Care Provider | 6000 W Highway 98, Pensacola, FL 32512-0003 | 2012-10-18 |
| 1467680801 | Curtis A Himes | Military Health Care Provider | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2009-06-24 |
| 1164629713 | Bryan J Platt | Military Health Care Provider | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2007-06-28 |
| Find all providers in PENSACOLA | ||||
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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.