DR. CHERRIE ROSE TAN DY (NPI# 1780972638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780972638 |
| Entity Type | Individual |
| Full Name | DR. CHERRIE ROSE TAN DY |
| Other Name | DR. CHERRIE ROSE TAN |
| Credential | M.D. |
| Practice Address |
400 S 43rd St Renton WA 98055-5714 |
| Mailing Address |
2790 91st Pl Ne Clyde Hill WA 98004-1661 |
| Practice Telephone | 4256565525 |
| Mailing Telephone | 4255028857 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A63725 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
400 S 43RD ST |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681569 | Minsoo Kang | Internal Medicine | 400 S 43rd St, Renton, WA 98055 | 2005-07-07 |
| 1700490760 | Toni Anne Wolcott | Registered Nurse | 400 S 43rd St, Renton, WA 98055 | 2020-09-06 |
| 1770107484 | Richmond Li | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-05-29 |
| 1144840711 | Brendan Wesley-smith | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-04-23 |
| 1205460359 | Yingying Lu | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-02-27 |
| 1508404955 | Hannah Rae Humphrey | Speech-Language Pathologist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1881232247 | Jennifer Susan Katz | Physical Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1760029714 | Selam Estefanos | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-09 |
| 1407493133 | Alba Sari | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-02 |
| 1336784131 | Julia Lysyuk | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417118399 | Claudia Nadernejad | Pediatrics | 35 W 8th Ave Ste 442, Spokane, WA 99204-2361 | 2008-06-23 |
| 1316151376 | Jeff Yuan | Pediatrics | 6601 Cascade Ave, Gig Harbor, WA 98335-1971 | 2007-05-09 |
| 1356453708 | Ashraf Adib Morkos | Pediatrics | 17209 Se 57th Pl, Bellevue, WA 98006-5952 | 2006-08-31 |
| 1730295569 | Gary A Twiggs | Pediatrics | 3626 Ne 45th Street, Suite 300, Seattle, WA 98105-5643 | 2006-08-22 |
| 1013932680 | Dennis Mayock | Pediatrics | Pediatrics, Box 356320, University of Washington, Seattle, WA 98195-6320 | 2006-07-13 |
| 1447200704 | Bruce Willham | Pediatrics | 315 M L King Jr Way, Attn: Pediatrix Medical Group, Tacoma, WA 98405-4234 | 2006-05-10 |
| 1942262027 | Ron C Ilg | Pediatrics | 35 W 8th Ave, Suite 440, Spokane, WA 99204-2361 | 2006-04-05 |
| 1417918160 | Delores Mary Gries | Pediatrics | 9040 Read St, Madigan Army Medical Center, Attn: Mchj-qcr, Tacoma, WA 98431-0001 | 2006-03-31 |
| 1154766699 | Min Ji Hwang | Pediatrics | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-05-09 |
| 1881960268 | Mihai Puia-dumitrescu | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-03-29 |
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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.