Anjanette Tan MD PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ANJANETTE TAN MD PA

Practice address

6844 Harris Pkwy Ste 300
Ft Worth, TX 76132-4301

Phone

(817) 263-0007

Fax

(817) 263-1118

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Anjanette Tan, MDNPI 1154326627

Title

President

Phone

(817) 263-0007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Diabetes and Thyroid Center of Fort Worth, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Ft. Worth, TX
  • NPI 1326373143

  Member Of

  NPD member

Locations

Practitioners 7

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

• Anjanette Tan, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Worth, TX
  • NPI 1154326627
  Medicare reassignment NPD Authorized official
• Joy Jereza De Guzman, FNP-BC

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1891173431
  Medicare reassignment NPD
• Rachel Martha Mansheim, NP

  • Family Nurse Practitioner
  • Ft Worth, TX
  • NPI 1386286037
  Medicare reassignment NPD
• Lisa Diane Mijares, AGNP

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1134513401
  Medicare reassignment NPD
• Angelique Tchounkovsky, A.N.P.-C.

  • Adult Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1760712483
  Medicare reassignment NPD
• Suzanne Sophia Wombough, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1124634621
  Medicare reassignment NPD
• Lauren Elizabeth Daub, PA

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1962069443
  Medicare reassignment

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1649989237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 HARRIS PKWY STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324301",
            "telephone_number": "817-263-0007",
            "fax_number": "817-263-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 HARRIS PKWY STE 300",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761324301",
            "telephone_number": "817-263-0007",
            "fax_number": "817-263-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJANETTE TAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ANJANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-263-0007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angels Haven, LLC
• Angels Helping Angels Home Care
• Laurie A Anger, NP
• Carlos Angueira, LPC
• Anita Paulus DDS PC
• Anjonette Colvin, OD, PA
• Ashlynn Ankofski
• Lynn Anku, RN
• Ann Auto Sales
• Satang Ann, PMHNP-BC

• Endocrinology, Diabetes & Metabolism Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.