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 | |
| 060000661 | MEDICARE PIN (08) | VA | |
| 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 | |
| 719525c42 | MEDICARE PIN (08) | DC | |
| F25600 | MEDICARE UPIN (02) | VA |
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 |
|---|---|---|---|---|
| 1336296540 | CHARLOTTE FULLER | Counselor, Mental Health | 235 BOLINAS RD,
APT. #6 FAIRFAX, CA, United States |
03-Jan-2007 |
| 1003966177 | DANIEL ALAN LINDER | Counselor, Mental Health | 189 CANYON RD,
FAIRFAX, CA, United States |
11-Jan-2007 |
| 1891066361 | MICHIEL COYOTE | Acupuncturist | 7 BELMONT AVE,
FAIRFAX, CA, United States |
15-Jan-2012 |
| 1245629690 | MARIA THERESE LEE | Occupational Therapist, Physical Rehabilitation | 90 BOSQUE AVE,
FAIRFAX, CA, United States |
22-Jan-2015 |
| 1144375478 | RACHEL THERESE PEDEMONTE | Nurse Practitioner, Family | 30 BAYWOOD CT,
FAIRFAX, CA, United States |
25-Jan-2007 |
| 1659418473 | CAREMERIDIAN, LLC | Skilled Nursing Facility | 2390 SIR FRANCIS DRAKE BLVD,
FAIRFAX, CA, United States |
31-Jan-2007 |
| 1063690147 | PAYTON ELIZABETH TONTZ | Marriage & Family Therapist | 1 SAINT VINCENTS DR,
SAN RAFAEL, CA, United States |
31-Jan-2008 |
| 1598263832 | SHENA JENSEN | Marriage & Family Therapist | 85 RIDGE RD,
FAIRFAX, CA, United States |
31-Jan-2018 |
| 1649694811 | CATHRYN SELBY | Dental Hygienist | 66 CREST RD,
FAIRFAX, CA, United States |
09-Feb-2014 |
| 1043583719 | KATHERINE KIELICH | Dietitian, Registered | 51 BELLE AVE,
FAIRFAX, CA, United States |
10-Feb-2012 |
| 1194867739 | SARAH GABRIELLE MANGION | Counselor, Mental Health | 21 CREST RD,
FAIRFAX, CA, United States |
12-Feb-2007 |
| 1073781563 | TERESA KELLY DURRANT | Counselor, Mental Health | 35 AZALEA AVE,
FAIRFAX, CA, United States |
19-Feb-2008 |
| 1801931290 | BRUCE ANDREW KILLEN | Marriage & Family Therapist | 46 SEQUOIA RD,
FAIRFAX, CA, United States |
21-Feb-2007 |
| 1538296132 | CONNIE ANNE MICALE | Social Worker, Clinical | 75 MITCHELL DR,
FAIRFAX, CA, United States |
28-Feb-2007 |
| 1376671818 | CONSTANCE STEPHANIE WEBER | Chiropractor | 198 HILLSIDE DR,
FAIRFAX, CA, United States |
28-Feb-2007 |
| 1578691648 | JENNIFER MARIE BUCHANAN | Dentist | 69 SEQUOIA RD,
FAIRFAX, CA, United States |
01-Mar-2007 |
| 1932349925 | LINDA KATHLEEN METZ | Registered Nurse | 673 CASCADE DR,
FAIRFAX, CA, United States |
03-Mar-2009 |
| 1003885989 | JACK D MCCUE | Internal Medicine | 101 RIDGE RD,
FAIRFAX, CA, United States |
14-Mar-2006 |
| 1003932997 | MARISSA A ROBINSON | Psychologist, Clinical | 155 FRUSTUCK AVE,
FAIRFAX, CA, United States |
22-Mar-2007 |
| 1568967768 | PAULA F MIERZEJEWSKI | Marriage & Family Therapist | 361 FORREST AVE,
FAIRFAX, CA, United States |
28-Mar-2018 |
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:
|