Dominic Wai-Ho Tam, M.D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35043641 Issued in OH

Practice address

16000 Pearl Rd
# 208
Strongsville, OH 44136-6082

Phone

(440) 572-3020

NPI assigned

Oct 10, 2006

Last updated

Aug 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dtam@direct.swgeneral.com

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.

• Anthony R Elias MD and Christine C Tam MD LLC

  dba Certified Dermatologists

  • Dermatology Physician
  • North Royalton, OH
  • NPI 1427459601
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1598852501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39578",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441390578",
            "telephone_number": "440-572-3020",
            "fax_number": "216-765-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PEARL RD",
            "address_2": "# 208",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366082",
            "telephone_number": "440-572-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "DOMINIC",
        "middle_name": "WAI-HO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35043641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Izumi Suzuki, MD
• Michelle Svoboda
• Kristin Elizabeth Swihart, MSW, LISW-S
• Crystal Lynn Tackaberry, REGISTERED NURSE
• Eman Tadros, MS MFT
• Rose Chun Wah Tam, M.D.
• Kimberly Angela Tanner, FNP
• Gulnara Tarpe, DO
• Jill Nicole Tayfel, LPCC
• Claudia Taylor, LPCC-S

• Dermatology Physician in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.