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

Tony Thien Tang, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1417040114

Tony Thien Tang, MD is a Geriatric Medicine in St. Louis, Missouri. Qualified in 2000, 26 years ago. Practices with Geromed LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4675 S Grand Blvd
St. Louis, MO 63111
Phone: (314) 752-8600
Fax: (314) 752-8601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 2003024222 (MO)

Record details

NPI number1417040114
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Geromed Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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