Pamela Tan, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

D85168 Issued in MD

Practice address

4401 E West Hwy
Ste 208
Bethesda, MD 20814-4531

Phone

(202) 476-2157

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tan Plastic Surgery LLC

  • Plastic Surgery Physician
  • Bethesda, MD
  • NPI 1508487828
  NPD Authorized official

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1972741122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY",
            "address_2": "STE 208",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144531",
            "telephone_number": "301-941-7481",
            "fax_number": "520-363-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY",
            "address_2": "STE 208",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144531",
            "telephone_number": "202-476-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "PAMELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "MD.207140",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D85168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleigha Talsma, LGPC
• Wai Ting Tam
• Cindy Tamminga, MD
• Regina Parker Tamposi, MD
• Tan Plastic Surgery LLC
• Tanya Qin Tan, M.D.
• Michael Jay Tanenhaus, D.D.S.
• Henry Tang, PHARMD
• Joseph Yixin Tang, MD
• Joelle Tankeu Tonga

• Plastic and Reconstructive Surgery Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.