MARK P. TANENBAUM M.D., NPI 1114929247
Internal Medicine in FAIRFAX, VA
Last Updated on : Aug 25,2022
About MARK P. TANENBAUM (NPI 1114929247)
MARK P. TANENBAUM is an Internal Medicine provider in FAIRFAX, United States. His medical specialization is Internal Medicine with a focus in Cardiovascular Disease.
1114929247 is NPI number of MARK P. TANENBAUM.
MARK P. TANENBAUM's primary taxonomy code based on NPI Lookup is 207RC0000X with license number 0101043105. This taxonomy code refers to Internal Medicine.
MARK P. TANENBAUM has more than 17 years of experience.
MARK P. TANENBAUM current practice location address is 3580 JOSEPH SIEWICK DR STE 305, FAIRFAX, VA. MARK P. TANENBAUM can be reached out via phone at 703-648-3266 and via fax at 703-648-3264 .
You can also correspond with MARK P. TANENBAUM through mail at mailing address 2901 TELESTAR CT., FALLS CHURCH, VA, United States. Mailing address contact number is 703-591-1688.
The enumeration date of MARK P. TANENBAUM is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.1114929247 NPI Information
Basic NPI information of MARK P. TANENBAUM (NPI 1114929247) is provided below.
| Name | MARK P. TANENBAUM |
|---|---|
| National Provider Id (NPI) | 1114929247 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 3580 JOSEPH SIEWICK DR STE 305,
FAIRFAX, VA, United States |
| Practice Telephone | 703-648-3266 |
| Practice Fax Number | 703-648-3264 |
| Mailing Address | 2901 TELESTAR CT. ,
#300
FALLS CHURCH, VA, United States |
| Mailing Telephone | 703-591-1688 |
| Mailing Fax Number | 703-591-1445 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 25-Aug-2022 |
MARK P. TANENBAUM (NPI 1114929247) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internal Medicine, Cardiovascular Disease | 0101043105 | VA |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 031738500 | MEDICAID (05) | DC | |
| 060035106 | Other (non-Medicare) (01) | DC | Railroad Medicare DC # |
| 060062627 | Other (non-Medicare) (01) | VA | Railroad Medicare VA # |
| 1114929247 | MEDICAID (05) | VA | |
| 121300800 | MEDICAID (05) | MD |
MARK P. TANENBAUM (NPI 1114929247) Office Location
Office location of MARK P. TANENBAUM is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1619660156 | 1089 LLC | Transportation Broker | 5565 CAITHNESS CT,
FAIRFAX, VA, United States |
31-May-2023 |
| 1770025124 | 1ST ADULT&PEDIATRIC MEDICAL SUPPLIESLLC | Durable Medical Equipment & Medical Supplies | 10650 MAIN ST STE 102,
FAIRFAX, VA, United States |
15-Nov-2016 |
| 1164766572 | 1ST CLASS SLEEP DIAGNOSTICS, INC | Clinical Medical Laboratory | 14631 LEE HWY,
SUITE 413 CENTREVILLE, VA, United States |
26-Nov-2012 |
| 1356661136 | 1ST STOP HEALTH SERVICES INC | Home Health | 10355 DEMOCRACY LN STE A,
FAIRFAX, VA, United States |
03-Jun-2010 |
| 1770178816 | 360 INNOVATIVE THERAPY LLC | Counselor | 10304 EATON PL STE 100,
FAIRFAX, VA, United States |
01-Mar-2021 |
| 1336508910 | 3D BODY IMAGING LLC | Clinic/Center, Radiology | 11002 BLENHEIM DR,
OAKTON, VA, United States |
11-Feb-2016 |
| 1508159807 | 3T FEDERAL SOLUTIONS LLC | Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | 4528 BRAEBURN DR,
FAIRFAX, VA, United States |
18-May-2011 |
| 1811441033 | A BRIGHTER DAY HOME CARE, INC. | Registered Nurse | 3822 BEECH DOWN DR,
CHANTILLY, VA, United States |
04-Aug-2016 |
| 1023345881 | A CENTER FOR ADULT, FAMILY AND CAREER COUNSELING | Community/Behavioral Health | 10420 BRECKINRIDGE LN,
FAIRFAX, VA, United States |
14-Nov-2009 |
| 1699350199 | A CUT ABOVE THE REST HOME HEALTHCARE | Registered Nurse, Home Health | 10805 MAIN ST STE 800,
FAIRFAX, VA, United States |
16-Mar-2021 |
| 1245734847 | A GIVEN HEART SERVICES INC | Home Health | 4012 WILLIAMSBURG CT,
FAIRFAX, VA, United States |
20-Mar-2018 |
| 1134541337 | A KIND & CARING HOME CARE,LLC | Home Health | 3022 JAVIER RD STE 110B,
FAIRFAX, VA, United States |
08-Jan-2014 |
| 1477710234 | A LADYS TOUCH INC. | Prosthetic/Orthotic Supplier | PO BOX 478,
FAIRFAX, CA, United States |
20-May-2008 |
| 1891252433 | A RIDE FOR YOU | Non-emergency Medical Transport (VAN) | 10505 BRADDOCK RD STE 4D,
FAIRFAX, VA, United States |
01-Mar-2019 |
| 1306412473 | A UNIQUE PERSPECTIVE LLC | Counselor, Mental Health | 14383 NEWBROOK DR STE 300-119,
CHANTILLY, VA, United States |
31-May-2021 |
| 1508149907 | A.C.E PSYCHOLOGICAL SERVICES | Community/Behavioral Health | 11198 LEE HWY STE D2,
FAIRFAX, VA, United States |
21-Sep-2011 |
| 1487003984 | MARRIAM AALAI | Pathology, Cytopathology | 3600 JOSEPH SIEWICK DR,
FAIRFAX, VA, United States |
07-Jun-2016 |
| 1508276619 | CHARLES MARTIN AARONSON | Dermatology | 3606 LIDO PL.,
FAIRFAX, VA, United States |
29-Apr-2014 |
| 1669491528 | SANDY KYONG AASEN | Social Worker, Clinical | 3926 KATHRYN JEAN CT,
FAIRFAX, VA, United States |
19-Jul-2006 |
| 1194234625 | ABA CENTER OF VIRGINIA | Behavior Analyst | 4969 VAIL RIDGE LN,
FAIRFAX, VA, United States |
27-Sep-2017 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1114929247?1114929247 is the NPI number of MARK P. TANENBAUM.
What is the specialty for MARK P. TANENBAUM?The Specialty of MARK P. TANENBAUM is Internal Medicine.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|