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MARK P. TANENBAUM M.D., NPI 1114929247

Internal Medicine in FAIRFAX, VA

Last Updated on : Aug 25,2022

MARK P. TANENBAUM M.D., NPI 1114929247

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?

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

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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