Active NPI
Eddie Tang, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- G75213
- Practice address
- 1 Shrader St
Suite 600
San Francisco, CA 94117-1016 - Phone
- (415) 387-9992
- Fax
- (415) 387-9996
- NPI assigned
- Jul 28, 2006
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G75213 | CA | Primary |
Addresses
Primary practice location
1 Shrader St
Suite 600
San Francisco, CA 94117-1016
Mailing address
2250 Hayes St
Ste 204
San Francisco, CA 94117-1078
Phone (415) 387-9992
Other practice location 1
6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G752130 | Medicaid | CA | |
| G752130 | Other | CA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MN, AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Enloe Medical Center
Practice addresses (Care Compare)
100 Mercy Way
310 Mercy Clinic Joplin Cardiac Thoraci
Joplin, MO 64804-4524
Phone (417) 556-8600
1430 Esplanade
Suite 6
Chico, CA 95926-3366
Phone (530) 332-4600
1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470
2250 Hayes St
Suite 204
San Francisco, CA 94117-1078
Phone (415) 387-9992
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75213 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Baxter County Regional Hospital Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Lake Regional Medical Management, Inc. | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188
628 Hospital Dr
#E1
Mountain Home, AR 72653
Phone (870) 425-3291
2708 S Rife Medical Ln
Ste 210
Rogers, AR 72758
Phone (479) 338-3888
1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470
1430 The Esplanade
Ste 6
Chico, CA 95926
Phone (530) 332-4400
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
100 Mercy Way
Ste 310
Joplin, MO 64804
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- etang126045@santaclaravalley.direct-ci.net
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- etang16261@enloedirect.org
- eddietang@hrmg.allscriptsdirect.net
- etang1223492@directc.mercy.net
- etang433931@direct-ucsfmedicalcenter.org
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Francisco, CA
- NPI 1437164274
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba Baxter Health Heart & Vascular Clinic
- Specialist
- Mountain Home, AR
- NPI 1841437175
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba Hannibal Regional Medical Group
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
-
dba Lake Regional Medical Group
- Multi-Specialty Clinic/Center
- Osage Beach, MO
- NPI 1639134158
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
dba UCSF Health - St. Mary's Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1093729691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 HAYES ST",
"address_2": "STE 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171078",
"telephone_number": "415-387-9992",
"fax_number": "415-387-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHRADER ST",
"address_2": "SUITE 600",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171016",
"telephone_number": "415-387-9992",
"fax_number": "415-387-9996"
}
],
"practiceLocations": [
{
"address_1": "6000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016887",
"country_code": "US",
"telephone_number": "573-248-1300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANG",
"first_name": "EDDIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "G75213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G752130",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "G752130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.