EKIONG C. TAN M.D., P.A.
NPI 1528085388
Urology in Englewood, FL

NPI Status: Active since July 17, 2006

Contact Information

779 MEDICAL DR
SUITE #5
ENGLEWOOD, FL
ZIP 34223
Phone: (941) 425-5405
Fax: (941) 475-7689

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  • Organization
  • Urology

About EKIONG C. TAN M.D., P.A.

This page provides the complete NPI Profile along with additional information for Ekiong C. Tan M.d., P.a., a provider established in Englewood, Florida operating as a Urology. The healthcare provider is registered in the NPI registry with number 1528085388 assigned on July 2006. The practitioner's primary taxonomy code is 208800000X with license number ME 0045958 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. Ekiong C. Tan M.d., P.a. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ekieng Chua Tan M.d. (President)

NPI
1528085388
Provider Name
EKIONG C. TAN M.D., P.A.
Entity Type
Organization
Location Address
779 MEDICAL DR SUITE #5 ENGLEWOOD, FL 34223
Location Phone
(941) 425-5405
Location Fax
(941) 475-7689
Mailing Address
779 MEDICAL DR SUITE #5 ENGLEWOOD, FL 34223
Mailing Phone
(941) 425-5405
Mailing Fax
(941) 475-7689
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2006
Last Update Date
10-05-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
ME 0045958
License State
FL
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EKIENG CHUA TAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(941) 425-5405

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E31879MEDICARE UPIN (02) 
73281MEDICARE ID-TYPE UNSPECIFIED (04)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528085388
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25480810316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 8 + 1 + 0 + 3 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1528085388 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245263987DR ADAM P LIPKIN MD PA
Organization
Surgery779 MEDICAL DR SUITE 1
ENGLEWOOD, FL 34223
(941) 475-5431
1528216140 NOELLE CLAIRE LIPKIN ARNP BC
Individual
Nurse Practitioner779 MEDICAL DR SUITE 1
ENGLEWOOD, FL 34223
(941) 475-5431
1972804995CYNTHIA DAVIS MD, PA
Organization
Obstetrics & Gynecology (Gynecology)779 MEDICAL DR SUITE 3
ENGLEWOOD, FL 34223
(941) 475-5002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528085388, enumerated in the NPI registry as an "organization" on July 17, 2006

The provider is located at 779 Medical Dr Suite #5 Englewood, Fl 34223 and the phone number is (941) 425-5405

This medical organization specializes in Urology with taxonomy code 208800000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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