MARK P. TANENBAUM M.D.
NPI 1114929247
Internal Medicine, Cardiovascular Disease in Fairfax,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 1, 2005

Contact Information

3580 Joseph Siewick Dr Ste 305
Fairfax,
Post Code: 22033
Phone: (703) 648-3266
Fax: (703) 648-3264

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Mark P. Tanenbaum M.d. in Fairfax - Internal Medicine, Cardiovascular Disease

Mark P. Tanenbaum M.d. is a Internal Medicine, Cardiovascular Disease in Fairfax, . Mark P. Tanenbaum M.d. practices all healthcare services and medical treatments related to Internal Medicine, Cardiovascular Disease. The NPI Number for Mark P. Tanenbaum M.d. is 1114929247. The last update date is 2022-08-25.

Mark P. Tanenbaum M.d.'s current location address is 3580 Joseph Siewick Dr Ste 305, Fairfax, . You can contact this provider via phone number (703) 648-3266 and fax number (703) 648-3264. The mailing address for Mark P. Tanenbaum M.d. is 3580 Joseph Siewick Dr Ste 305, Fairfax, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114929247
Provider Name
MARK P. TANENBAUM M.D.
Gender
Male
Entity Type
Individual
Location Address
3580 Joseph Siewick Dr Ste 305, Fairfax,
Location Phone
(703) 648-3266
Location Fax
(703) 648-3264
Mailing Address
2901 Telestar Ct., Falls Church, Virginia(VA)
Mailing Phone
703-591-1688
Mailing Fax
703-591-1445
Enumeration Date
2005-06-01
Last Update Date
2022-08-25
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine, Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
-
License No.
0101043105
License State
Virginia (VA)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
031738500 MEDICAID (05) District Of Columbia (DC)
060035106 Other (non-Medicare) (01) District Of Columbia (DC) Railroad Medicare DC #
060062627 Other (non-Medicare) (01) Virginia (VA) Railroad Medicare VA #
1114929247 MEDICAID (05) Virginia (VA)
121300800 MEDICAID (05) Maryland (MD)

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NPI Validation Check Digit Calculation


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

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114929247
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241821828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21241821828
2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 8 + 2 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1114929247 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114928934 G. NATHAN BUTTERWORTH
Individual
Optometrist 1975 VIRGINIA AVE
MARTINSVILLE, Virginia (VA)
276-647-3937
1114928132 DONNA R WIKE
Individual
Optometrist 1729 DAVIE AVE
STATESVILLE, North Carolina (NC)
704-873-0524
1114927787 KARLA WORTMAN
Individual
Physical Therapist 9900 MAIN ST
FAIRFAX, Virginia (VA)
703-279-4394
1114927357 VINH BINH TRAN
Individual
Orthopaedic Surgery 8206 LEESBURG PIKE
VIENNA, Virginia (VA)
703-288-0094
1114927217 DANIEL A SHAYE
Individual
Chiropractor, Sports Physician 1307 JAMESTOWN RD STE 103
WILLIAMSBURG, Virginia (VA)
757-229-4161