Conchita Tanhehco, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301031461 Issued in MI

Practice address

Henry Ford Health System
22505 Allen Road
Woodhaven, MI 48183

Phone

(734) 671-6217

NPI assigned

Sep 22, 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

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

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861591976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HENRY FORD HEALTH SYSTEM",
            "address_2": "22505 ALLEN ROAD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-671-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRY FORD HEALTH SYSTEM",
            "address_2": "22505 ALLEN ROAD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-671-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANHEHCO",
        "first_name": "CONCHITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301031461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129059610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "CT031461",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "CT031461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel St Amour, NP-C
• Renee St Louis, COTA/L
• Kaylee Stamper
• SVS Vision Inc
• Robyn Swanson, O.D.
• Angela Taylor, OD
• The Bridge Center for Growth, PC.
• Anthony Scott Thomas, PHARMD
• Vijay Tohan, DDS
• Michael James Traill, RPH

• Pediatrics Physician in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Pediatrics Physician in Michigan

• 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.