DR. EVAN KYO TAMURA MD NPI 1558724559

NPI Information

NPI: 1558724559
Provider Name: DR. EVAN KYO TAMURA, MD
Classification: Clinic/Center - 261QF0400X
Entity Type: Individual

Specialization: Federally Qualified Health Center (FQHC)

Organization: LOWER LIGHTS CHRISTIAN HEALTH CENTER INC

PECOS Registration: Yes

Address:
1160 W BROAD ST
COLUMBUS, OH
ZIP 43222
Phone: (614) 274-1455
Get Directions

DR. Evan Kyo Tamura, MD is a federally qualified health center (fqhc) clinic center in Columbus, OH with 13 years of experience. DR. Evan Kyo Tamura, MD NPI is 1558724559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2011

The provider's business location address is:

1160 W BROAD ST
COLUMBUS, OH
ZIP 43222-352
Phone: (614) 274-1455
Fax: (614) 274-1433

The NPI 1558724559 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 3/29/2016 and was last updated on 8/20/2021.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	35.141449	OHIO	Yes
2	207Q00000X	Family Medicine		A151864	CALIFORNIA	No
3	207Q00000X	Family Medicine		11055198-1205	UTAH	No

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	0440853	MEDICAID	OHIO

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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