Active NPIIndividual provider

Dr. Amy Tan, MD

Surgery in Goldendale, Washington

NPI Number1235176611
Practice location
310 S Roosevelt St, Goldendale, WA 98620
Fax
—
Last updated
February 9, 2024

Amy Tan is a Surgery based in Goldendale, WA. Amy Tan practices in Goldendale, WA and has the professional credentials of MD. The NPI Number for Amy Tan is 1235176611 and holds a License No. 19928 (NH). The current practice location address for Amy Tan is 310 S Roosevelt St, Goldendale, WA 98620 and can be reached out via phone at 509-773-1007.

Provider Profile Details

NPI Number
1235176611
Provider Name
Amy Tan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
310 S Roosevelt St, Goldendale, WA 98620
Phone Number
509-773-1007
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2006
Last Update Date
February 9, 2024
Certification Date
February 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 S Roosevelt St
Goldendale, WA 98620
Zip
98620
Phone Number
509-773-1007
Goldendale, WA 98620Get directions →

Provider Business Mailing Address Details

Address
12 Landing RD S
Hancock, ME 04640-3522
City
Hancock
State
ME
Zip
04640-3522

License Information

License Number (1)
19928
License State (1)
NH
Taxonomy (1)
Surgery · 208600000X
License Number (2)
MD16499
License State (2)
ME
Taxonomy (2)
Surgery · 208600000X · Primary
License Number (3)
2021025788
License State (3)
MO
Taxonomy (3)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Amy Tan, MD?

The NPI number of Dr. Amy Tan, MD is 1235176611. It was assigned on June 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Amy Tan, MD?

Dr. Amy Tan, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NH under license number 19928.

Where does Dr. Amy Tan, MD practice?

The practice location is 310 S Roosevelt St, Goldendale, WA 98620. The office can be reached at 509-773-1007 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235176611 directly on the NPPES registry website.

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