Jessela D. Tan, M.D., P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M4580 Issued in TX

Legal business name

JESSELA D. TAN, M.D., P.L.L.C.

Practice address

7501 Lakeview Pkwy
Suite 140
Rowlett, TX 75088-9322

Phone

(972) 526-7500

Fax

(972) 526-7501

NPI assigned

Jun 17, 2008

Last updated

Sep 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessela D. Tan, M.D.

Title

President

Phone

(214) 703-1900

Specialties & licenses 1

Addresses

Other names 1

• Sleep Essentials- Center for Pediatric and Adult Sleep Medicine Other name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hania Alaidroos, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1205826112
  NPD (past)
• Risha Kopel, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1548311160
  NPD (past)
• Chris Michael Vicente, M.D.

  • Neurology Physician
  • Rockwall, TX
  • NPI 1760442750
  NPD (past)
• Michelle Ann Williams, NP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1184188831
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1841451481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 MCKINNEY AVE",
            "address_2": "#735",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041401",
            "telephone_number": "214-703-1900",
            "fax_number": "214-703-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "address_2": "SUITE 140",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889322",
            "telephone_number": "972-526-7500",
            "fax_number": "972-526-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSELA D. TAN, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JESSELA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-703-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Essentials- Center for Pediatric and Adult Sleep Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steffanie James, LPC
• Joanna Jaramillo
• Jaro Assistants LLC
• JCM Medical PLLC (LKM Medical PLLC)
• Joseph S Jenike, MD
• Thitina Jimma
• Hali Morgan John, LM, CPM
• Bre Anna Johnson
• Brittany Dawn Johnson, FNP-C
• Dana Drummond Johnson, CCC-SLP

• Family Medicine Physician in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.