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Phan Tacs LLC

NPI 1629845409ActiveOrganization· Surgery· Lone Tree, CO

Surgery in Lone Tree, Colorado, registered in NPPES in December 2023. The authorized official on file is Peter Phan, MD, Sole Member.

Overview

NPI1629845409
StatusActive
Entity typeOrganization
NPI issuedDec 11, 2023
Last updated in NPPESDec 11, 2023
Certified by providerDec 11, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Surgery providers in Lone Tree

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