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JORDAN M TANNENBAUM M.D., NPI 1922000116

Pediatrics in ONEONTA, NY

Last Updated on : Jun 29,2010

About JORDAN M TANNENBAUM (NPI 1922000116)


JORDAN M TANNENBAUM is a Pediatrics provider in ONEONTA, United States. His medical specialization is Pediatrics .

1922000116 is NPI number of JORDAN M TANNENBAUM.

JORDAN M TANNENBAUM's primary taxonomy code based on NPI Lookup is 208000000X with license number 149788. This taxonomy code refers to Pediatrics.

JORDAN M TANNENBAUM has more than 16 years of experience.

JORDAN M TANNENBAUM current practice location address is 1 FOX CARE DR, ONEONTA, NY. JORDAN M TANNENBAUM can be reached out via phone at 607-432-5600 and via fax at 607-431-5275 .

You can also correspond with JORDAN M TANNENBAUM through mail at mailing address 1 FOX CARE DR, ONEONTA, NY, United States. Mailing address contact number is 607-432-5600.

The enumeration date of JORDAN M TANNENBAUM is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 12 years ago.

1922000116 NPI Information

Name JORDAN M TANNENBAUM
National Provider Id (NPI) 1922000116
Entity Type Individual
Gender M
Credential M.D.
Practice Address 1 FOX CARE DR, STE 213
ONEONTA, NY, United States
Practice Telephone 607-432-5600
Practice Fax Number 607-431-5275
Mailing Address 1 FOX CARE DR , STE 213
ONEONTA, NY, United States
Mailing Telephone 607-432-5600
Mailing Fax Number 607-431-5275
Enumeration Date 01-Jun-2005
Last Updated Date 29-Jun-2010

JORDAN M TANNENBAUM (NPI 1922000116) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 208000000X Pediatrics 149788 NY

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00279098 MEDICAID (05) NY
002892901 Other (non-Medicare) (01) NY BLUE CROSS BLUE SHIELD
G66688 MEDICARE UPIN (02) NY

JORDAN M TANNENBAUM (NPI 1922000116) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1689262057 ABBIE FRIDAY SHARPE Pediatrics 27550 STATE HIGHWAY 75 STE 105,
ONEONTA, AL, United States
01-Jan-2021
1558508853 HOPE HOUSE, INC. Community/Behavioral Health PO BOX 127,
ONEONTA, AL, United States
08-Jan-2009
1720137706 BLOUNT COUNTY HEALTH DEPT MAT Public Health or Welfare PO BOX 208,
ONEONTA, AL, United States
09-Jan-2007
1265581193 BRIDGET K HENNESSY Dentist, General Practice 428 HIGHLAND COVE DR,
BIRMINGHAM, AL, United States
09-Jan-2007
1508223488 JENNIFER C GREENE Social Worker, Clinical PO BOX 97,
GADSDEN, AL, United States
22-Jan-2016
1942547740 KATHERINE ANN HERRING Nurse Practitioner, Family 101 LEMLEY DR, SUITE A
ONEONTA, AL, United States
14-Jan-2013
1922498351 SHELTON PHARMACY Pharmacy, Community/Retail Pharmacy 414 EAGLE RIDGE RD,
ONEONTA, AL, United States
22-Jan-2015
1194870121 JOELY MARIM-EBERHARDT Dentist, Pediatric Dentistry 27550 STATE HIGHWAY 75 STE 104,
ONEONTA, AL, United States
23-Jan-2007
1609847540 MICHAEL THOMAS WALDEN Pharmacist, Pharmacotherapy 101 DREXAL DR,
ONEONTA, AL, United States
30-Jan-2006
1912364415 AMANDA PHELPS Speech-Language Pathologist, 315 6TH ST S,
ONEONTA, AL, United States
28-Jan-2016
1306477831 KAYLA TROSTEL Pharmacist 1616 OSCAR BRADFORD RD,
HAYDEN, AL, United States
03-Feb-2020
1568054336 HOMETOWN ORTHODONTICS, LLC Clinic/Center, Dental PO BOX 1488,
ONEONTA, AL, United States
03-Feb-2021
1619561198 ST VINCENTS BLOUNT Clinical Medical Laboratory 150 GILBREATH DR,
ONEONTA, AL, United States
24-Feb-2021
1265890107 CAROL DAVIS Registered Nurse, Critical Care Medicine 2837 SPRINGVILLE BLVD,
ONEONTA, AL, United States
06-Feb-2016
1932242476 BLOUNT COUNTY HEALTH DEPT ADULT IMMUN Public Health or Welfare PO BOX 208,
ONEONTA, AL, United States
15-Feb-2007
1669515102 BLOUNT COUNTY HEALTH DEPT CHILD Case Management PO BOX 208,
ONEONTA, AL, United States
15-Feb-2007
1104969641 BLOUNT COUNTY HEALTH DEPT FP CLINIC Public Health or Welfare PO BOX 208,
ONEONTA, AL, United States
15-Feb-2007
1104969526 BLOUNT COUNTY HEALTH DEPT AIDS Case Management PO BOX 208,
ONEONTA, AL, United States
15-Feb-2007
1346383718 BLOUNT COUNTY HEALTH DEPT EPSDT Public Health or Welfare PO BOX 208,
ONEONTA, AL, United States
15-Feb-2007
1528101839 BLOUNT COUNTY HEALTH DEPT OFFSITE EPSDT Public Health or Welfare PO BOX 208,
ONEONTA, AL, United States
15-Feb-2007

FAQs

Whose NPI Number is 1922000116?

1922000116 is the NPI number of JORDAN M TANNENBAUM.

What is the specialty for JORDAN M TANNENBAUM?

The Specialty of JORDAN M TANNENBAUM is Pediatrics.

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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