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

Active since July 17, 2006
779 MEDICAL DR, SUITE #5, ENGLEWOOD, FL 34223(941) 425-5405(941) 475-7689 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ekiong C. Tan M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EKIONG C. TAN M.D., P.A. (NPI 1528085388) is a healthcare organization registered as an urology in Englewood, Florida and active in the NPI registry since July 2006. The organization lists Ekieng Chua Tan, President, as its authorized official.

NPPES Registry Identity

NPI1528085388
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameEKIONG C. TAN M.D., P.A.
Location Address779 MEDICAL DR, SUITE #5Englewood, FL 34223-3980
Mailing Address779 Medical Dr, Suite #5Englewood, FL 34223-3980 · (941) 425-5405 · Fax (941) 475-7689
Phone(941) 425-5405
Fax(941) 475-7689
Organization SubpartNo
Authorized OfficialEkieng Chua TanPresident · (941) 425-5405
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 5, 2007
✔ NPI 1528085388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME 0045958
Definition
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.
779 MEDICAL DR, Englewood, FL 34223
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Other Identifiers 2

Medicare UPINE31879
Medicare ID-Type Unspecified73281FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR ADAM P LIPKIN MD PA
Surgery
779 MEDICAL DR, SUITE 1
ENGLEWOOD, FL 34223
Sarasota County (941) 475-5431
NOELLE CLAIRE LIPKIN ARNP BC
Nurse Practitioner
779 MEDICAL DR, SUITE 1
ENGLEWOOD, FL 34223
Sarasota County (941) 475-5431
CYNTHIA DAVIS MD, PA
Obstetrics & Gynecology (Gynecology)
779 MEDICAL DR, SUITE 3
ENGLEWOOD, FL 34223
Sarasota County (941) 475-5002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ekiong C. Tan M.D., P.A.'s NPI number?

The NPI number for Ekiong C. Tan M.D., P.A. is 1528085388. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Ekiong C. Tan M.D., P.A. located?

Ekiong C. Tan M.D., P.A. is located at 779 Medical Dr Suite #5, Englewood, FL 34223. The listed phone number is (941) 425-5405.

What is Ekiong C. Tan M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Ekiong C. Tan M.D., P.A. was last updated on October 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.