Organization Active NPI

Tan Plastic Surgery LLC

  • Plastic Surgery Physician
  • Bethesda, MD
National Provider Identifier
1508487828
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
TAN PLASTIC SURGERY LLC
Practice address
4401 E West Hwy Ste 208
Bethesda, MD 20814-4531
Phone
(646) 460-7136
NPI assigned
Apr 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Pamela Tan, MDNPI 1972741122
Title
Owner
Phone
(646) 460-7136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

4401 E West Hwy Ste 208
Bethesda, MD 20814-4531

Mailing address

2000 N St NW Apt 225
Washington, DC 20036-2807
Phone (646) 460-7136

National Provider Directory

National Provider Directory

Locations

4401 East West Hwy
Ste 208
Bethesda, MD 20814
Phone (202) 476-2157

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1508487828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N ST NW APT 225",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362807",
            "telephone_number": "646-460-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY STE 208",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144531",
            "telephone_number": "646-460-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-460-7136",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.