Diane Sione Tanabe, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

21440 Issued in MN

Practice address

280 Smith Ave N Ste 400
Lufkin Eye Clinic, PA
Saint Paul, MN 55102-2473

Phone

(651) 292-8200

Fax

(651) 292-1801

NPI assigned

Aug 25, 2006

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lufkin Eye Clinic PA

  • Ophthalmology Physician
  • Saint Paul, MN
  • NPI 1386740637
  Authorized official Same address or phone
• Progressive Eyecare Associates

  • Ophthalmology Physician
  • Apple Valley, MN
  • NPI 1265647416
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1851409395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18128",
            "address_2": "LUFKIN EYE CLINIC, PA",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551180128",
            "telephone_number": "651-292-8205",
            "fax_number": "651-292-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N STE 400",
            "address_2": "LUFKIN EYE CLINIC, PA",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022473",
            "telephone_number": "651-292-8200",
            "fax_number": "651-292-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANABE",
        "first_name": "DIANE",
        "middle_name": "SIONE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "21440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841890000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "180010745",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "28943TA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammi Tallarico, APRN, CNP
• Talo Medicine PLLC
• Anita Tamang, CHW
• Tamara L. Kaiser LLC
• Stephen R Tan, MD
• Akiko Tanaka, PH.D., L.P,
• Travis Tanberg
• Lilian Shun Ning Tang
• Tanglefish Emotional Healing LLC
• Tani Eye Associates & Clinic PA

• Ophthalmology Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.