Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396939096 Individual Practitioner Male Practitioner

Dr. Manuel Pavia Tan , MD

General Practice • Las Cruces, NM

Professional Overview & Biography Verified Profile Summary

Dr. Manuel Tan, MD is a registered healthcare professional specializing in General Practice in Las Cruces, NM. Practice services are available at 4351 E LOHMAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4351 E Lohman Ave
Ste 301

Las Cruces, NM 880118259

Telephone 5755328900
Fax 5755328910
Associated Practice Facility / Clinic
🏢 Zia Family Medicine Pc Facility NPI 1114928298

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Las Cruces, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 32.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Las Cruces, NM (115 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NM 93164

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
F9028 (NM)

Practice Associates & Co-Workers

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

17 Associated Practitioners
Dr. Roset Samuel , MD

Family Medicine

NPI 1073590162

Doctor of Medicine (M.D.)

Sandra Piedra , CNP

Nurse Practitioner - Family

NPI 1104041870

Certified Nurse Practitioner

Dr. Jose Rosales , FNP, DNP

Nurse Practitioner - Family

NPI 1114118221

Family Nurse Practitioner, Doctor of Nursing Practice

Dr. Robert Seaton , MD

Obstetrics & Gynecology - Gynecology

NPI 1144217563

Doctor of Medicine (M.D.)

Loretta Haynes , CNP

Nurse Practitioner

NPI 1255397584

Certified Nurse Practitioner

NPI 1306938295

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2008

Registered at 4351 E LOHMAN AVE, STE 301, LAS CRUCES, NM 880118259 (Tel: 5755328900)

📍
Updated Business Mailing Address May 07, 2008

Registered at 4351 E LOHMAN AVE, STE 301, LAS CRUCES, NM 880118259 (Tel: 5755328900)

👤
Provider Name / Credentials Updated May 07, 2008

Recorded as MANUEL TAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2008

General Practice (License #93164 in NM)

🟢
Initial NPI Registration & Enumeration September 05, 2007

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: 1396939096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2007
Last Update: May 07, 2008
Sole Proprietor: Yes

Mailing Address

4351 E Lohman Ave, Ste 301

Las Cruces, NM 880118259

Phone: 5755328900

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.