Gary Tan, D.O.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

34.012699 Issued in OH

Practice address

1 Ross Park Blvd Ste G-3
Steubenville, OH 43952-2681

Phone

(740) 266-5969

Fax

(740) 266-5970

NPI assigned

May 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Urology

Education

Midwestern University, Chicago College of Osteopathic Med, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity WestGroup PAC ID 5496648875, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

Merit-based Incentive Payment System (MIPS)

Final score

73.74 of 100Reported as group

Quality

48.02

Promoting interoperability

91

Improvement activities

40

Cost

71.96

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.tan@tpg.eclinicaldirectplus.com

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.

• Trinity West

  • Family Medicine Physician
  • Steubenville, OH
  • NPI 1043234677

  OH

  Medicare reassignment Care Compare group NPD
• Trinity West

  • Rural Health Clinic/Center
  • Cadiz, OH
  • NPI 1316789506
  NPD

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

• Trinity Hospital Holding Company

  • General Acute Care Hospital
  • Steubenville, OH
  • NPI 1285715144

  Hospital

  Care Compare affiliation
• Weirton Medical Center, Inc

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1366734717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMMIT AVE., MSO PHYSICIAN BILLING",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522667",
            "telephone_number": "740-283-7597",
            "fax_number": "740-283-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSS PARK BLVD STE G-3",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522681",
            "telephone_number": "740-266-5969",
            "fax_number": "740-266-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Louisiana State University Health Sciences Center",
            "address_2": "1501 Kings Hwy.",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71130",
            "country_code": "US",
            "telephone_number": "318-675-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Louisiana State University Health Sciences Center",
            "address_2": "1501 Kings Hwy.",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71130",
            "country_code": "US",
            "telephone_number": "318-675-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "303775",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MB09553900",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "12699",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "3182",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "34.012699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Symington, CT
• Sidra Tahir, M.D.
• Donna M Talbott, CRNP
• Jason Scott Talkington, CDCA
• Commando Talreja, M.D
• Catherine Tanaka, MA, LPC
• Philip David Taylor, M.S.ED., L.P.C.
• Zachary Mario Teaff, DPT
• Chriselda Teasdale, RN
• Basel Termanini, MD

• All providers in Steubenville, OH
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.