Jeanette Tan, MD, PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

J9375 Issued in TX

Legal business name

JEANETTE TAN, MD, PA

Practice address

7812 Gateway Blvd E
Ste 200
El Paso, TX 79915-1803

Phone

(915) 592-6868

Fax

(915) 592-6889

NPI assigned

Jan 29, 2007

Last updated

Apr 13, 2011By 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

Jeanette Tan, MDNPI 1518938810

Title

President

Phone

(915) 592-6868

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

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.

• Jeanette Tan, M.D.

  • Specialist
  • El Paso, TX
  • NPI 1518938810
  Medicare reassignment NPD Authorized official
• Adriana Ponce Sanchez, ACNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
  • NPI 1205127636
  Medicare reassignment NPD
• Genevieve M Belgrave, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • El Paso, TX
  • NPI 1649200668
  NPD (past)
• Haydee Fiske, FNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1265758445
  NPD (past)
• David Bishop Hall, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1922159011
  NPD (past)
• Haroutioun S Shahinian, M.D.

  • Hematology & Oncology Physician
  • El Paso, TX
  • NPI 1639184005
  NPD (past)
• Jose Luis Valladares, MD

  • Hematology & Oncology Physician
  • Victoria, TX
  • NPI 1053303255
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1427194240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 GATEWAY BLVD E",
            "address_2": "STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151803",
            "telephone_number": "915-592-6868",
            "fax_number": "915-592-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 GATEWAY BLVD E",
            "address_2": "STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151803",
            "telephone_number": "915-592-6868",
            "fax_number": "915-592-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE TAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-592-6868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9375",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J9375",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "J9375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JCKM, LLC Abbe C Fannin Sole MBR
• JCL Construction
• JCS Medical Transportation LLC
• JDMD Clinics, P. a. (El Paso Advanced Pain Institute)
• Imelda Lucia Jean
• Jedi Force Inc (Medic Sabor Medical Supplies)
• Jee Anesthesia PLLC
• Kelsey Alane Jeffers, AGACNP-BC
• Jeffrey H. Annabi, M.D., P.a.
• Regina Marie Jeffries, LMT

• Pulmonary Disease Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.