Amy Tan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD16499 Issued in ME

Practice address

310 S Roosevelt St
Goldendale, WA 98620

Phone

(509) 773-1007

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, NH, VT, MO4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

General Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Androscoggin Valley Hospital IncGroup PAC ID 2365350725, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316
• Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atan261386@direct.mmc.mainehealth.org
• Direct secure messaging: amy.tan.1@8356.direct.athenahealth.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/calais-879327e9

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.

• Androscoggin Valley Hospital Inc

  dba AVH Surgical Associates

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644

  Surgery

  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Medicare reassignment NPD
• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Medicare reassignment NPD
• Gifford Medical Center Inc.

  • General Acute Care Hospital
  • Randolph, VT
  • NPI 1942329446
  Medicare reassignment NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Franklin Hospital

  • Critical Access Hospital
  • Farmington, ME
  • NPI 1922791417
  Medicare reassignment NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  Medicare reassignment NPD
• Weeks Medical Center

  • Critical Access Hospital
  • Lancaster, NH
  • NPI 1265536718
  Medicare reassignment NPD
• Weeks Medical Center

  • Clinic/Center
  • Whitefield, NH
  • NPI 1508819566
  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Berlin, NH
  • NPI 1134266679
  NPD
• Calais Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Calais, ME
  • NPI 1376546143
  NPD
• Calais Community Hospital

  dba Baileyville Medical Center

  • Rural Health Clinic/Center
  • Baileyville, ME
  • NPI 1467205112
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Androscoggin Valley Hospital

  dba AVH Surgical Associates

  • Durable Medical Equipment & Medical Supplies
  • Berlin, NH
  • NPI 1235267451

  Hospital

  Care Compare affiliation
• Androscoggin Valley Hospital Inc

  dba AVH Surgical Associates

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644

  Hospital

  Care Compare affiliation
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Care Compare affiliation
• Mainehealth

  dba MaineHealth Franklin Hospital

  • Critical Access Hospital
  • Farmington, ME
  • NPI 1922791417
  Care Compare affiliation

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1235176611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LANDING RD S",
            "city": "HANCOCK",
            "state": "ME",
            "postal_code": "046403522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S ROOSEVELT ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "98620",
            "telephone_number": "509-773-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Page Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "035703531",
            "country_code": "US",
            "telephone_number": "603-326-5644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Palmer St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Calais",
            "state": "ME",
            "postal_code": "046191341",
            "country_code": "US",
            "telephone_number": "207-661-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-257-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "19928",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD16499",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2021025788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Lee Shinn, L.M.T
• Jeremy A Springer, DSW, MSW, LCSW
• Michael Steinbock, CRNA
• Kathleen Marcella Martha Stokes, RN
• Sunday Sutton
• Jeffrey Cleman Teal, PH.D.
• Kirk Thornley
• Laurel Sylvan Tiphareth, LM, LICSW, RN, ARNP
• David Tuning, PAC
• James Tuning

• Surgery Physician in Goldendale, WA
• Providers in Goldendale, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.