Individual provider Active NPI

Sigmund Bernardino Tan, DO

  • Anesthesiology Physician
  • Newport News, VA
National Provider Identifier
1972644813
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0102202036 Issued in VA
Practice address
11848 Rock Landing Dr
#303
Newport News, VA 23606-4425
Phone
(757) 591-2260
Fax
(757) 595-2001
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0102202036 VA Primary

Addresses

Primary practice location

11848 Rock Landing Dr
#303
Newport News, VA 23606-4425

Mailing address

11848 Rock Landing Dr
#303
Newport News, VA 23606-4425
Phone (757) 591-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Connections-Virginia, LLC Anesthesiology CurrentSince Sep 1, 2017 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Anesthesiology CurrentSince Oct 21, 2007 Accepting new patients
Professional Anesthesia Group, LLC Anesthesiology CurrentSince Sep 15, 2017 Accepting new patients

Locations

1302 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

1500 Dixon St
Ste 101
Fredericksburg, VA 22401
Phone (540) 371-5349

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

828 Healthy Way
Ste 115
Virginia Beach, VA 23462
Phone (757) 388-6200

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1972644813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11848 ROCK LANDING DR",
            "address_2": "#303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064425",
            "telephone_number": "757-591-2260",
            "fax_number": "757-595-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11848 ROCK LANDING DR",
            "address_2": "#303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064425",
            "telephone_number": "757-591-2260",
            "fax_number": "757-595-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "SIGMUND",
        "middle_name": "BERNARDINO",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0102202036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.