Nianjun Tang (NPI# 1477556454, PAC ID# 6103098967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1477556454 |
| PAC ID by PECOS | 6103098967 |
| Professional Enrollment ID | I20111020000606 |
| Full Name | Nianjun Tang |
| Organization Legal Name | CENTENNIAL MEDICAL GROUP LLP |
| Address |
4454 N Decatur Blvd Las Vegas NV 89130-5286 |
| Phone Number | 7028391203 |
| Gender | F |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 6901807536 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 | 7028391203 | CENTENNIAL MEDICAL GROUP LLP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | CENTENNIAL MEDICAL GROUP LLP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lanzkowsky | Anesthesiology | Centennial Medical Group LLP | 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 |
| Jaemi Keith | Interventional Pain Management | Centennial Medical Group LLP | 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 |
| Mark J Cirella | Pain Management | Centennial Medical Group LLP | 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 |
| Street Address |
4454 N DECATUR BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip | 89130-5286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lanzkowsky | Anesthesiology | Centennial Medical Group LLP | 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 |
| Jaemi Keith | Interventional Pain Management | Centennial Medical Group LLP | 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 |
| Mark J Cirella | Pain Management | Centennial Medical Group LLP | 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Rinato | Clinical Social Worker | 7117 Rio Grande Gorge Ct, Las Vegas, NV 89130-1019 | |
| Ramanathan Muthaiah | Internal Medicine | 5061 N Rainbow Blvd, Suite 180, Las Vegas, NV 89130-1689 | |
| Imelda Chi Sam | Nurse Practitioner | R Muthaiah Md PC | 5061 N Rainbow Blvd, Suite 180, Las Vegas, NV 89130-1689 |
| Matthew J Espinosa | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 4920 W Lone Mountain Rd, Las Vegas, NV 89130-2241 |
| Robert B Vance Ii | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 4920 W Lone Mountain Rd, Las Vegas, NV 89130-2241 |
| Kathleen T Wagner | Family Medicine | Healthcare Partners Medical Group Coats Ltd | 4920 W Lone Mountain Rd, Las Vegas, NV 89130-2241 |
| Jeffrey Lynn Hart | Ophthalmology | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| Selim Taylan Koseoglu | Ophthalmology | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| Jeylan A El-mansoury | Ophthalmology | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| Walter Reed Jaussi | Ophthalmology | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| Find all physicians in zip 89130 | |||
| City | LAS VEGAS |
| Zip Code | 89130 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | LAS VEGAS + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Nianjun Tang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.