NPIMap

Individual provider Active NPI

Jaime F Tan, MD

  • General Practice Physician
  • Harbor Beach, MI
National Provider Identifier
1346235207
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
JT042959 Issued in MI
Practice address
233 State St
Harbor Beach, MI 48441-1206
Phone
(989) 479-3111
Fax
(989) 479-9880
NPI assigned
Sep 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X JT042959 MI Primary

Addresses

Primary practice location

233 State St
Harbor Beach, MI 48441-1206

Mailing address

233 State St
Harbor Beach, MI 48441-1206
Phone (989) 479-3111

Other identifiers 2

IdentifierTypeStateIssuer
0803200182OtherMIBCBS
1754354MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080612000418 MI Practitioner - Family Practice 9335210756 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Thumb RegionGroup PAC ID 6800709221, 39 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

Harbor Beach, MI 48441
Phone (989) 479-2143

1011 S Van Dyke Rd
Suite C
Bad Axe, MI 48413-9630
Phone (989) 269-8087

1040 S Van Dyke Rd
Bad Axe, MI 48413-9646
Phone (989) 269-6911

1060 S Van Dyke Rd
Suite 300
Bad Axe, MI 48413-9638
Phone (989) 269-7775

1060 S Van Dyke Rd
Suite 400
Bad Axe, MI 48413-9639
Phone (989) 269-2597

1060 S Van Dyke Rd
Suite 500
Bad Axe, MI 48413-9636
Phone (989) 269-8701

1060 S Van Dyke Rd
Suite 700
Bad Axe, MI 48413-9632
Phone (989) 269-6990

1060 S Van Dyke Rd
Suite 800
Bad Axe, MI 48413-9637
Phone (989) 269-7606

1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-9521

1117 S Van Dyke Rd
Suite 200
Bad Axe, MI 48413-8467
Phone (989) 269-2597

4782 Hospital Dr
Cass City, MI 48726-1049
Phone (989) 872-2174

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
JT042959MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Thumb Region CurrentSince Oct 1, 2019 Accepting new patients
Jaime F Tan MD PLLC General Practice CurrentSince Sep 1, 2021 Accepting new patients
Huron Pathology Services PC Current Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
McLaren Thumb Region Current Accepting new patients
McLaren Thumb Region CurrentSince Oct 1, 2019 Accepting new patients
Theoria Medical CurrentSince Aug 11, 2024 Accepting new patients
Sanilac County Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Four Seasons Nursing Center LLC Past Accepting new patients

Locations

1060 S Van Dyke Rd
Ste 600700
Bad Axe, MI 48413

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

4782 Hospital Dr
Cass City, MI 48726
Phone (989) 872-2174

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

210 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3201

233 State St
Harbor Beach, MI 48441
Phone (989) 479-3111

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346235207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 STATE ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411206",
            "telephone_number": "989-479-3111",
            "fax_number": "989-479-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 STATE ST",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411206",
            "telephone_number": "989-479-3111",
            "fax_number": "989-479-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JAIME",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "JT042959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0803200182",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1754354",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Beach, MI

Sources for this page

Verify at the official NPI Registry.