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DR. GARY TAN D.O. NPI 1366734717


NPI Information

NPI: 1366734717
Provider Name: DR. GARY TAN, D.O.
Classification: Urology - 208800000X
Entity Type: Individual
Organization: TRINITY WEST

PECOS Registration: Yes

Address:
1 ROSS PARK BLVD STE G-3
STEUBENVILLE, OH
ZIP 43952
Phone: (740) 266-5969
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DR. Gary Tan, D.O. is an urology in Steubenville, OH with 13 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. DR. Gary Tan, D.O. NPI is 1366734717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2011

The provider's business location address is:

1 ROSS PARK BLVD STE G-3
STEUBENVILLE, OH
ZIP 43952-681
Phone: (740) 266-5969
Fax: (740) 266-5970

The NPI 1366734717 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 5/4/2011 and was last updated on 4/3/2020.


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
1208800000XUrology34.012699OHIOYes
2208800000XUrology3182WEST VIRGINIANo
3208800000XUrology12699OHIONo
4208800000XUrology25MB09553900NEW JERSEYNo
5208800000XUrology303775LOUISIANANo

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
10244510MEDICAIDOHIO

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: 11/14/2023

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.