Rose Chun Wah Tam, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35046017 Issued in OH

Practice address

16000 Pearl Rd
Strongsville, OH 44136-6082

Phone

(440) 572-3020

Fax

(216) 765-8401

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dominic W Tam MD & Rose CW Tam MD Inc

  • Dermatology Physician
  • Strongsville, OH
  • NPI 1881781003
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700973724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W JUNIPER LN",
            "city": "MORELAND HILLS",
            "state": "OH",
            "postal_code": "440221380",
            "telephone_number": "216-765-8402",
            "fax_number": "216-765-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366082",
            "telephone_number": "440-572-3020",
            "fax_number": "216-765-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "ROSE",
        "middle_name": "CHUN WAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35046017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Svoboda
• Kristin Elizabeth Swihart, MSW, LISW-S
• Crystal Lynn Tackaberry, REGISTERED NURSE
• Eman Tadros, MS MFT
• Dominic Wai-Ho Tam, M.D
• Kimberly Angela Tanner, FNP
• Gulnara Tarpe, DO
• Jill Nicole Tayfel, LPCC
• Claudia Taylor, LPCC-S
• Nina Telitsa, RN

• Dermatology Physician in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.