Marc A Tanenbaum, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

019429 Issued in GA

Practice address

6300 Powers Ferry Road
Suite 600, Pob 200
Atlanta, GA 30339-2961

Phone

(404) 654-0426

Fax

(678) 806-0900

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marc Alan Tanenbaum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mtanenbaum2030@choa.gadirect.net

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1629022744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 POWERS FERRY ROAD",
            "address_2": "SUITE 600, POB #202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392961",
            "telephone_number": "404-654-0426",
            "fax_number": "678-806-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 POWERS FERRY ROAD",
            "address_2": "SUITE 600, POB 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392961",
            "telephone_number": "404-654-0426",
            "fax_number": "678-806-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANENBAUM",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "019429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARC",
            "last_name": "TANENBAUM",
            "middle_name": "ALAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paula A Tanasa, M.D.
• Navin Tandon, D.O.
• Angela Taneja, MD
• Avi Taneja
• Daniel Greg Tanenbaum, M.D.
• Amy Yixiao Tang, MD
• Lisa Wen Tang, M.D.
• Rose Dian Tang, MD
• Xue Ailin Tang
• Xuexin Tang, MD

• Pediatrics Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.