Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669237236 Individual Practitioner Female Practitioner

Dr. Michelle Nathania Tan , DO

General Practice • Jbphh, HI

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Tan, DO is a registered healthcare professional specializing in General Practice in Jbphh, HI. Practice services are available at 480 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

480 Central Ave

Jbphh, HI 968604908

Telephone 8084483285
Associated Practice Facility / Clinic
🏢 Naval Health Clinic Hawaii Facility NPI 1306720446

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jbphh, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Jbphh, HI (183 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: 2026-03-16
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102209499

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Alexander Nardone

General Practice

NPI 1215793096
Rachael Planishek

General Practice

NPI 1679337208

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 16, 2026

Registered at 480 CENTRAL AVE, JBPHH, HI 968604908 (Tel: 8084483285)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2026

General Practice (License #0102209499 in VA)

📍
Updated Practice Location January 21, 2026

Registered at III MARINE EXPEDITIONARY FORCE SURGEON, UNIT 35605, FPO, AP 96382 (Tel: 8084963365)

📍
Updated Business Mailing Address January 21, 2026

Registered at III MARINE EXPEDITIONARY FORCE SURGEON, UNIT 35605, FPO, AP 96382

👤
Provider Name / Credentials Updated July 12, 2025

Recorded as MICHELLE TAN, DO

NPI Profile Active February 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2024

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 5593211656)

📍
Updated Business Mailing Address February 21, 2024

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 5593211656)

👤
Provider Name / Credentials Updated February 21, 2024

Recorded as MICHELLE TAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2024

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration February 14, 2024

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: 1669237236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2024
Last Update: March 16, 2026
Sole Proprietor: No

Mailing Address

Iii Marine Expeditionary Force Surgeon, Unit 35605

Fpo, AP 96382

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.