DR. MICHAEL TAN (NPI# 1770556045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770556045 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL TAN |
| Credential | MD |
| Practice Address |
1617 N James St Suite 900 Rome NY 13440-2848 |
| Practice Telephone | 3153372903 |
| Practice Fax Number | 3153376253 |
| Mailing Telephone | 3153372903 |
| Mailing Fax Number | 3153376253 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 1378671 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | US DEPT OF LABOR | 111530400 | 01 |
| NY | 00582027 | 05 | |
| NY | FIDELLS CARE NY | 1040426013829 | 01 |
| NY | MVP HEALTH CARE | 185034 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669499208 | Michael Angelo Tan | Internal Medicine | 854 West 7th North St, Morristown, TN 37814-3850 | 2006-07-17 |
| 1760419204 | Michael P. Tan | Neuromusculoskeletal Medicine & OMM | 1200 S Atlantic Blvd, Suite #128, Alhambra, CA 91803-2408 | 2006-06-28 |
| 1457975997 | Michael Tan Jr. | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-06-01 |
| 1871150763 | Michael Lon Tan | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-05-25 |
| 1063919090 | Michael Tan | Student in an Organized Health Care Education/Training Program | 2351 Clay St Ste 380, San Francisco, CA 94115-1931 | 2018-04-06 |
| 1639619703 | Michael Tan | Dietitian, Registered | Lahey Hospital and Medical Ctr, 41 Mall Road, Burlington, MA 01805-0001 | 2017-03-08 |
| 1386935500 | Michael C Tan | Anesthesiology | 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 | 2011-04-21 |
| 1578630471 | Michael C. Tan | Pediatrics | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2006-11-29 |
| 1972556413 | Michael J Tan | Internal Medicine | 75 Arch St, Ste. 506, Akron, OH 44304-1429 | 2006-05-18 |
| Street Address |
1617 N JAMES ST SUITE 900 |
| City | ROME |
| State | NY |
| Zip Code | 13440-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959568 | Robert E Alessi | Allergy & Immunology | 1617 N James St, Suite 550, Rome, NY 13440-2852 | 2005-08-16 |
| 1528535036 | Jaskirt Kaur Chahal | Physician Assistant | 1617 N James St, Rome, NY 13440-2852 | 2018-11-01 |
| 1487938635 | Associated Medical Professionals of Ny, Pllc | Urology | 1617 N James St, Suite 300, Rome, NY 13440-2852 | 2011-10-06 |
| 1851683882 | Rome Medical Practice | Internal Medicine | 1617 N James St, Suite 800, Rome, NY 13440-2852 | 2011-05-10 |
| 1205128238 | Rome Medical Practice | Surgery | 1617 N James St, Suite 700, Rome, NY 13440-2852 | 2011-05-10 |
| 1700109956 | Associated Medical Professionals of Ny, Pllc | Urology | 1617 N James St, Suite 900, Rome, NY 13440-2852 | 2010-03-02 |
| 1972765683 | Shiv S. Bhatt Physician PC. | Orthopaedic Surgery | 1617 N James St, Suite 600, Rome, NY 13440-2852 | 2008-06-25 |
| 1437378460 | Surgical Associates of Rome Md PC | Surgery | 1617 N James St, Suite 300, Rome, NY 13440 | 2007-04-25 |
| 1225157068 | Michael Tan Md PC | Orthopaedic Surgery | 1617 N James St, Suite 900, Rome, NY 13440-2848 | 2007-03-29 |
| 1922143130 | Douglas Nuccio | Chiropractor | 1617 N James St, Suite 300, Rome, NY 13440-2852 | 2007-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728058 | R Mitchell Rubinovich Md Pllc | Orthopaedic Surgery | 1109 N George St, Rome, NY 13440-3415 | 2018-01-12 |
| 1013022557 | Shiv S Bhatt | Orthopaedic Surgery | 1617 North James Street, Suite 900, Rome, NY 13479 | 2006-08-21 |
| 1184640708 | Rome Medical Practice PC | Orthopaedic Surgery | 1617 North James St., Rome, NY 13440-2848 | 2006-07-15 |
| 1669422937 | Stephen Lawrence Brown | Orthopaedic Surgery | 100 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2006-05-10 |
| 1487658407 | Richard John Mutty | Orthopaedic Surgery | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2005-06-08 |
| 1962739037 | Jarrad Alexander Barber | Orthopaedic Surgery | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2009-11-11 |
| 1023246923 | Michael Keath Paxten | Orthopaedic Surgery | 100 Three Rivers Dr Ne, Ste A, Rome, GA 30161-4999 | 2009-06-30 |
| 1457585192 | Justin Michael Dunn | Orthopaedic Surgery | 100 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2009-05-11 |
| 1972765683 | Shiv S. Bhatt Physician PC. | Orthopaedic Surgery | 1617 N James St, Suite 600, Rome, NY 13440-2852 | 2008-06-25 |
| 1811158249 | Mark William Floyd | Orthopaedic Surgery | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2008-06-18 |
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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.