Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Dayoung Baek Tan, DO

Individual provider General Practice Physician · NPI 1255919346

Michelle Dayoung Baek Tan, DO is a Family Practice in Henderson, Nevada. Qualified in 2021, 5 years ago. Practices with Platinum Hospitalists LLP, a 196-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10624 S Eastern Ave Ste A-955
Henderson, NV 89052-2982
Phone: (702) 800-5393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO3484 (NV)
General Practice Physician Taxonomy 208D00000X · Licence 3484 (NV)

Record details

NPI number1255919346
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Platinum Hospitalists Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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