Darryl A Tannenbaum, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1046006 Issued in IN

Practice address

940 N Marr Rd
Suite C
Columbus, IN 47201-2610

Phone

(812) 376-9353

Fax

(812) 376-3757

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Indiana Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Columbus, IN
  • NPI 1316072804
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1053349928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N MARR RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N MARR RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "DARRYL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "1046006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "003842",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200040850",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000195467",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200127230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sycamore Hand Center Limited Partnership
• Sycamore Hand Center Limited Partnership
• Carla Elaine Talley, ANP-C
• Hiram Tame, OTR/L
• Loren G. Tanguay, BCBA
• Eric Philip Tannenbaum, M.D.
• Tanner Mitchell DDS LLC
• Rachel Tatham, PT
• Chloe Taulbee, RBT
• Taulman Chiropractic Inc.

• Orthopaedic Surgery Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.