Dr. Enrico Tan is a Athens, Ohio based male podiatrist with 35 years of experience in Podiatry. He completed his graduation from College Of Podiatric Med And Surgery, Des Moines University in 1989. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Enrico Tan for Podiatry is 36002613 in Ohio. Dr. Enrico Tan is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Enrico Tan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
35+ years
Medical School Attended:
College Of Podiatric Med And Surgery, Des Moines University
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
410 E State St, Athens, Ohio, 45701-1819
Phone:
740-592-2366
Fax:
740-594-2871
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5991986671
Enrollment ID:
I20110301000534
NPI Number:
1346260429
NPI Enumeration Date:
20 Jul, 2006
NPI Last Update On:
14 Feb, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Enrico Tan are as mentioned below.
License Number
Specialization
State
Status
36002613
Podiatry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Enrico Tan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0765159
Medicaid
Ohio
000000123607
Other
Ohio
ANTHEM BC/BS PROV NUMBER
0784560001
Other
Ohio
DMERC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
410 E State St, Athens, Ohio
Zip:
45701-1819
Phone Number:
740-592-2366
Fax Number:
740-594-2871
Patients can reach Dr. Enrico Tan at 410 E State St, Athens, Ohio or can call to book an appointment on 740-592-2366. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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