Phan Tacs LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PHAN TACS LLC

Practice address

10103 Ridgegate Pkwy Ste 207
Lone Tree, CO 80124-5525

Phone

(720) 471-8710

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Peter Phan, MDNPI 1851564462

Title

Sole Member

Phone

(720) 471-8710

Specialties & licenses 1

Addresses

Practitioners 1

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

• Peter Phan, M.D.

  • Surgery Physician
  • Liberal, KS
  • NPI 1851564462
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1629845409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 207",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 207",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "720-471-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAN TACS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "720-471-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Peters
• Kelly Ann Peters, PA-C
• Kelly L. Peters, MD
• David Ian Peterson, PA
• Sonia Phadke, MD
• Thuan Phan, ARNP
• Thuy Phan, RN
• Jamie K. Phelan, R.N.,M.S.N., N.N.P
• Christine Phillips, MD
• Laura Phillips, PHARMD, BCCCP

• Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.