Caridad C Tan, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

28744 Issued in IA

Practice address

2730 Pierce St Ste 402a
Sioux City, IA 51104-3766

Phone

(712) 252-8191

Fax

(712) 252-8192

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• St Lukes Health Resources

  dba St Lukes Clinic Network

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1528001492
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1326094095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 402A",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043766",
            "telephone_number": "712-252-8191",
            "fax_number": "712-252-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 402A",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043766",
            "telephone_number": "712-252-8191",
            "fax_number": "712-252-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CARIDAD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "28744",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SD",
            "license": "4626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120112",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa J. Swenson, PA-C
• Jeffrey S Sykes, M.D.
• Stephanie Szczypinski, DPT
• T&M Transportation, LLC
• Valerie Kay Tallerico-Antonopoulos, DPM
• Suman Tandra, M.D.
• Jon Q Taylor
• Mark Taylor, DO
• Pennie Joy Tesch, MA, CCC-SLP
• Erica Tessier

• Nephrology Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Nephrology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.