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SIGMUND IAN TANNENBAUM MD NPI 1225024540


NPI Information

NPI: 1225024540
Provider Name: SIGMUND IAN TANNENBAUM, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
509 N ELAM AVE FL 2
GREENSBORO, NC
ZIP 27403
Phone: (336) 274-1114
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Sigmund Ian Tannenbaum, MD is an urology in Greensboro, NC with 49 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Sigmund Ian Tannenbaum, MD NPI is 1225024540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1975

The provider's business location address is:

509 N ELAM AVE FL 2
GREENSBORO, NC
ZIP 27403-157
Phone: (336) 274-1114
Fax: (336) 232-5325

The NPI 1225024540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 2/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology20977NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C81424MEDICARE UPINNORTH CAROLINA
2202693CMEDICARE PINNORTH CAROLINA
38981526MEDICAIDNORTH CAROLINA
4202693DMEDICARE PINNORTH CAROLINA
581526OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
6340017974MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.