TOM XIAOLIN TAN M.D. NPI 1710947114

NPI Information

NPI: 1710947114
Provider Name: TOM XIAOLIN TAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: RADIOLOGY AND IMAGING OF SOUTH TEXAS LLP

PECOS Registration: Yes

Address:
730 W MARKET ST
LIMA, OH
ZIP 45801
Phone: (419) 227-3361
Get Directions

Tom Xiaolin Tan, M.D. is a diagnostic radiology radiology in Lima, OH with 42 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Tom Xiaolin Tan, M.D. NPI is 1710947114. 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:

730 W MARKET ST
LIMA, OH
ZIP 45801-602
Phone: (419) 227-3361

The NPI 1710947114 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 3/28/2006 and was last updated on 7/25/2013.

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	2085R0202X	Radiology	Diagnostic Radiology	35.069960	OHIO	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	000000177814	OTHER	OHIO	ANTHEM BCBS
2	TA4024133	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	2193791	MEDICAID	OHIO
4	300111996	OTHER	OHIO	RAILROAD MEDICARE
5	G94700	MEDICARE UPIN
6	TA4024132	MEDICARE ID-TYPE UNSPECIFIED	OHIO
7	TA4024131	MEDICARE ID-TYPE UNSPECIFIED	OHIO
8	300117618	OTHER	OHIO	RAILROAD MEDICARE

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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