Michael Tan, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1378671 Issued in NY

Practice address

1617 N James St
Suite 900
Rome, NY 13440-2848

Phone

(315) 337-2903

Fax

(315) 337-6253

NPI assigned

Feb 8, 2006

Last updated

Jun 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Michael Tan MD PC

  • Orthopaedic Surgery Physician
  • Rome, NY
  • NPI 1225157068
  Authorized official Same address or phone

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1770556045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N JAMES ST",
            "address_2": "SUITE 900",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402848",
            "telephone_number": "315-337-2903",
            "fax_number": "315-337-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N JAMES ST",
            "address_2": "SUITE 900",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402848",
            "telephone_number": "315-337-2903",
            "fax_number": "315-337-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "1378671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELLS CARE NY",
            "identifier": "1040426013829",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "111530400",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00582027",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "185034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Talbot
• Linda E. Talerico, FAMILY PSYCHIATRIC M
• Nicoletta Tallandini Cotronea, M.D.
• Teri Ann Tallarino, PT
• Gibran Tallim, M.D.
• Tina E Tanner, SPEECH LANG PATH
• Lance Natalino Tardugho, DDS
• Tardugno Dental Office PC
• Douglas John Tardugno, DDS
• Mark Steven Tardugno, DDS

• Orthopaedic Surgery Physician in Rome, NY
• Providers in Rome, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.