Dominic W Tam MD & Rose CW Tam MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DOMINIC W TAM MD & ROSE CW TAM MD INC

Practice address

16000 Pearl Rd
Strongsville, OH 44136-6082

Phone

(440) 572-3020

Fax

(216) 765-8401

NPI assigned

Oct 8, 2006

Organization subpart

No

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

Authorized official

Name

Rose Chun Wah Tam, M.D.NPI 1700973724

Title

President

Phone

(216) 765-8402

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Chun Wah Tam, M.D.

  • Dermatology Physician
  • Strongsville, OH
  • NPI 1700973724
  NPD (past) Authorized official

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1881781003",
    "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": {
        "organization_name": "DOMINIC W TAM MD & ROSE CW TAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "CHUN WAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-765-8402",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 29, 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.