Deebeanne M Tavani DO PHD PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

0S006178L Issued in PA

Legal business name

DEEBEANNE M TAVANI DO PHD PC

Practice address

100 E Lancaster Ave
Mob East Suite 453E
Wynnewood, PA 19096-3450

Phone

(610) 896-5170

Fax

(610) 896-5640

NPI assigned

Aug 31, 2006

Last updated

Jun 16, 2021By 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. Deebeanne M Tavani, DO PHDNPI 1780619759

Title

Ceo

Phone

(610) 896-5770

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: deebeanne.tavani@deebeannetavani.chartmakerdirect.com

Practitioners 2

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.

• Deebeanne Marie Tavani, DO PHD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wynnewood, PA
  • NPI 1780619759
  Medicare reassignment NPD Authorized official
• Jessica Fincken, MSN, CRNP

  • Nurse Practitioner
  • Radnor, PA
  • NPI 1780194027
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1225140791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB EAST SUITE 453E",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-5170",
            "fax_number": "610-896-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB EAST SUITE 453E",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-5170",
            "fax_number": "610-896-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEBEANNE M TAVANI DO PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "TAVANI",
        "authorized_official_first_name": "DEEBEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-896-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO PHD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "0S006178L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1280660",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deebeanne.tavani@deebeannetavani.chartmakerdirect.com",
            "affiliation": "N",
            "address_1": "100 E Lancaster Ave",
            "address_2": "MOB East Suite 453E",
            "city": "Wynnewood",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190963450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luke Michael Deangelis, DO
• Avijit Kumar Deb, DO
• Carol J. Debakker, M.D.
• Nicole Debski, MD
• Cristina Decesaris, M.D.
• Sanjay Deel
• Thomas J Definnis, D.M.D., P.C.
• Kathleen Chapman Degen, M.D.
• Sara Deichman, LCSW
• Lea Deimeyer

• Endocrinology, Diabetes & Metabolism Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.