Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730105651 Individual Practitioner Male Practitioner

Dr. Ignatius Ing Han Tan , MD

Pediatrics • Odessa, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ignatius Tan, MD is a registered healthcare professional specializing in Pediatrics in Odessa, FL. Practice services are available at 14713 SULLY RUN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14713 Sully Run

Odessa, FL 335564674

Telephone 8134757100
Fax 8134757119
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Odessa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Odessa, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME-65867

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
252902500 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Elainey Schweitzer

Registered Nurse

NPI 1356273288
NPI 1508362559

Doctor of Medicine (M.D.)

NPI 1508881467

Doctor of Medicine (M.D.)

Sara Harm , NP

Nurse Practitioner - Pediatrics

NPI 1568285575

Nurse Practitioner

NPI 1679035083

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location December 04, 2025

Registered at 14713 SULLY RUN, ODESSA, FL 335564674 (Tel: 8134757100)

📍
Updated Business Mailing Address December 04, 2025

Registered at 720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 346772937 (Tel: 8138542003)

NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2017

Registered at 1850 CROSSINGS BLVD UNIT 100, ODESSA, FL 335566106 (Tel: 8134757100)

📍
Updated Business Mailing Address May 23, 2017

Registered at 4033 TAMPA RD STE 101, OLDSMAR, FL 346773224 (Tel: (813) 854-2003)

👤
Provider Name / Credentials Updated May 23, 2017

Recorded as IGNATIUS TAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Pediatrics (License #ME-65867 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1932 HIGHLAND OAKS BLVD, LUTZ, FL 335597323 (Tel: 8139486133)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 25437, TAMPA, FL 336225437 (Tel: 8138542003)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as IGNATIUS TAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #ME-65867 in FL)

🟢
Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730105651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: December 04, 2025
Sole Proprietor: No

Mailing Address

720 Brooker Creek Blvd Ste 215

Oldsmar, FL 346772937

Phone: 8138542003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.