TANNER THOMAS


Address: 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001
Phone: 5708087300

TANNER THOMAS (NPI# 1093354268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093354268
Entity Type Individual
Full Name TANNER THOMAS
Practice Address 1000 E Mountain Blvd
Wilkes Barre
PA 18711-0001
Mailing Address 754 Wildflower Dr
Wilkes Barre
PA 18702-7931
Practice Telephone 5708087300
Enumeration Date 2020-01-05
Last Update Date 2020-01-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN671788 PA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA NURSING LICENSE RN671788 01

Other Providers TANNER THOMAS

NPI Name Taxonomy Address Enumeration
1841207610 Tanner Lee Thomas Physical Therapist 2380 8th Ave, Suite 8, Plattsmouth, NE 68048-2367 2006-08-02

Office Location

Street Address 1000 E MOUNTAIN BLVD
City WILKES BARRE
State PA
Zip Code 18711-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841292943 Robert A Rostock Specialist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2005-06-02
1396342994 Haley Stackhouse Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-10-06
1346852670 Nicholas John Preston Pharmacist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-08-18
1497363816 Ashley Hine Surgery 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-07-22
1851919971 Chelsea Pieshefski Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-07-07
1437776150 Alyssa M Callela Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-29
1679199848 Gabrielle Cristina Roberts Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-23
1194341602 Kylie Morgan Verespy Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-06-20
1346865680 Jillian Theresa Butkiewicz Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-12
1902426711 Belinda Sibanda Student in an Organized Health Care Education/Training Program 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467924274 Leeann Kayal Nurse Practitioner 111 East End Boulevard, Wilkes Barre, PA 18711 2018-12-19
1336661701 Patricia Dworak Occupational Therapist 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 2017-07-07
1992160352 Hope Danishanko Social Worker 111 East End Blvd, Wilkes Barre, PA 18711 2015-12-29
1477962785 Jennifer L. Heck Physical Therapist 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 2014-08-12
1821338807 Melinda Flaim Physical Therapist 1555 East End Blvd, Wilkes Barre, PA 18711 2013-02-27
1598900953 Elizabeth Patricia Keating Pharmacist 1000 East Mountain Drive, Wilkes Barre, PA 18711 2008-12-12
1457433294 Christopher William O'brien Specialist/Technologist King's College, 133 North River Street, Wilkes-barre, PA 18711 2006-10-20
1821197450 Louis Jay Freedman Obstetrics & Gynecology Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 2006-09-21
1730282625 Natalia N Belikova Internal Medicine 1111 East End Boulvard, Wilkesbarre, PA 18711 2006-09-06
1609883628 Va Medical Center General Acute Care Hospital 1111 East End Blvd., Wilkes-barre, PA 18711 2006-08-02
Find all providers in zip 18711

Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154984490 Richael Jean Marquez Pantig Registered Nurse 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2019-04-22
1225538036 Richard Alaimo Registered Nurse 1111 E End Blvd, Wilkes Barre, PA 18711-0030 2018-02-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265049282 Jacquelyn D'amico Registered Nurse 8814 Ennis Dr, Erie, PA 16509-5004 2020-09-24
1447877956 Sean Patrick Leehan Registered Nurse 659 Southcrest Dr, Pittsburgh, PA 15226-1236 2020-06-30
1093343857 Elisha L Lowe Registered Nurse 3900 City Ave Apt M208, Philadelphia, PA 19131-2959 2020-03-29
1689201428 Amy Janicki Registered Nurse 1722 Locust St, Norristown, PA 19401-3012 2020-03-23
1265072433 Jennifer Lyne Vaccaro Registered Nurse 3500 Victoria Street School of Anesthesia, Pittsburgh, PA 15261-0001 2020-01-15
1619517141 Diane N Adams Registered Nurse 2921 Voelkel Ave, Pittsburgh, PA 15216-2035 2020-01-13
1871133868 Tyler Schultz Registered Nurse 826 Dunster St, Pittsburgh, PA 15226-1427 2020-01-08
1558900480 Tyler David Hollingsworth Registered Nurse 2551a Pheasant Run, Wexford, PA 15090-7632 2019-12-23
1326686577 Carissa Miara Registered Nurse 102 Cove Ct, Mc Donald, PA 15057-2185 2019-12-18
1700424934 Cigi N Henderson Registered Nurse 440 Mcelree Rd, Washington, PA 15301-8317 2019-12-18
Find all providers with the same taxonomy

Competitor

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City WILKES BARRE
Zip Code 18711

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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