Tanenbaum Dermatology Center PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TANENBAUM DERMATOLOGY CENTER PLC

Practice address

760 Brookhaven Circle
Memphis, TN 38117-4504

Phone

(901) 761-0500

Fax

(901) 761-0537

NPI assigned

Aug 22, 2007

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan H Tanenbaum, M.D.NPI 1114023611

Title

Partner

Phone

(901) 761-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tratan LLC

  dba Treatment Rooms of America TAN

  • Clinic/Center
  • Memphis, TN
  • NPI 1134427396
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Harris Tanenbaum, M.D.

  • Dermatology Physician
  • Memphis, TN
  • NPI 1114023611
  Medicare reassignment Authorized official
• Ashley Lawrence, PA-C

  • Physician Assistant
  • Germantown, TN
  • NPI 1215205828
  Medicare reassignment
• Tara Beth Snell, PA-C

  • Physician Assistant
  • Memphis, TN
  • NPI 1154628709
  Medicare reassignment
• Jessica N Lynch, PA-C

  • Physician Assistant
  • Manhattan, KS
  • NPI 1649844820

  TN

  Medicare reassignment

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1144413147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BROOKHAVEN CIRCLE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174504",
            "telephone_number": "901-761-0500",
            "fax_number": "901-761-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROOKHAVEN CIRCLE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174504",
            "telephone_number": "901-761-0500",
            "fax_number": "901-761-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANENBAUM DERMATOLOGY CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "901-761-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wing Sum Tam
• Tamarack Medical
• Iffat Tameez, MD
• Anamika Tandon
• Vaishnavi Srivenkata Tandra
• Alan Harris Tanenbaum, M.D.
• Mark Harris Tanenbaum, MD
• Gustavo Adolfo Tangarife Sr., PA
• Tanika's Family Care L.L.C.
• Kandice Tankson, M.ED

• Dermatology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.