John C Tay, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036049707 Issued in IL

Practice address

630 Randy LN
Fort Myers Beach, FL 33931-4018

Phone

(239) 463-2723

NPI assigned

Jun 8, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associated Anesthesiologists, S.C.

  • Anesthesiology Physician
  • Peoria, IL
  • NPI 1558306480
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1043530454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 RANDY LN",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314018",
            "telephone_number": "239-463-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 RANDY LN",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314018",
            "telephone_number": "239-463-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAY",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036049707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049709",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Santiago-Maldonado, OT, DC, CLT
• Stephen F Scholle, MD
• Stephen F. Scholle MD PA
• Janet Stoff
• Sulan Services LLC
• Sucel Tejeda, BCBA,RN
• The Gabel Center LLC.
• The Gabel Center, LLC
• Michelle Them, PTA
• Tina Gelpi Otd LLC

• Anesthesiology Physician in Fort Myers Beach, FL
• Providers in Fort Myers Beach, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.