DR. STANLEY ANDREW TAN MD NPI 1396747721

NPI Information

NPI: 1396747721
Provider Name: DR. STANLEY ANDREW TAN, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1005 W CIRCLE ST
AVON PARK, FL
ZIP 33825
Phone: (863) 453-5500
Get Directions

DR. Stanley Andrew Tan, MD is an endocrinology and diabetes and metabolism internal medicine in Avon Park, FL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Stanley Andrew Tan, MD NPI is 1396747721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1005 W CIRCLE ST
AVON PARK, FL
ZIP 33825-928
Phone: (863) 453-5500
Fax: (863) 453-5566

The enumeration date for this NPI number is 8/15/2005 and was last updated on 4/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	G23082	CALIFORNIA	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	2003-00713	NORTH CAROLINA	No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	ME94328	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A41841	MEDICARE UPIN	NORTH CAROLINA
2	2017381	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	PROVIDER NUMBER
3	89133MT	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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