Individual provider Active NPI

Sylvia Tan, M.D.

  • Internal Medicine Physician
  • Guymon, OK
National Provider Identifier
1700809720
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19772 Issued in OK
Practice address
350 NE 12TH St
Guymon, OK 73942-3624
Phone
(580) 338-8700
Fax
(580) 338-8600
NPI assigned
Jul 25, 2006
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19772 OK Primary

Addresses

Primary practice location

350 NE 12TH St
Guymon, OK 73942-3624

Mailing address

350 NE 12TH St
Guymon, OK 73942-3624
Phone (580) 338-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000442 OK Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0143286401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Clinics of St Anne PLLCGroup PAC ID 8022028273, 2 clinicians

Practice addresses (Care Compare)

350 NE 12TH St
Guymon, OK 73942-3624
Phone (580) 338-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19772OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Clinics of St Anne PLLC Internal Medicine CurrentSince Jan 1, 2000 Accepting new patients
Memorial Hospital of Texas County Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

350 NE 12th St
Guymon, OK 73942
Phone (580) 338-4224

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFFAA

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1700809720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NE 12TH ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423624",
            "telephone_number": "580-338-8700",
            "fax_number": "580-338-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NE 12TH ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423624",
            "telephone_number": "580-338-8700",
            "fax_number": "580-338-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "SYLVIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "19772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guymon, OK

Sources for this page

Verify at the official NPI Registry.