Nehemiah Tan, MD, S.C.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036-085107 Issued in IL

Legal business name

NEHEMIAH TAN, MD, S.C.

Practice address

2499 N Monroe St
Decatur, IL 62526-4368

Phone

(217) 876-6880

Fax

(217) 876-6885

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Nehemiah T Tan, M.D.

Title

Owner/President

Phone

(217) 876-6880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1649281270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263941",
            "telephone_number": "217-876-6880",
            "fax_number": "217-876-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264368",
            "telephone_number": "217-876-6880",
            "fax_number": "217-876-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEHEMIAH TAN, MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "NEHEMIAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "217-876-6880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036-085107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085107",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Naylor
• Sarah Nazarian
• Jourdan Needham, RBT
• Kristina Needham
• Bharat Neelam Raju, MD
• Christopher M Nelson, PHARMD
• Justin Nelson, OTD, OTR/L, LAT, ATC
• Drew Newberry
• Kristin K Newcome, M.D.
• John Wesley Newlin, MD

• Rheumatology Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.