DR. WILLIAM GORDON TANNER JR. (NPI# 1114911294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114911294 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM GORDON TANNER JR. |
| Credential | M.D. |
| Practice Address |
721 Wellness Way Ste 100 Lawrenceville GA 30046-3304 |
| Practice Telephone | 7709957989 |
| Practice Fax Number | 7703398646 |
| Mailing Telephone | 7709957989 |
| Mailing Fax Number | 7703398646 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2012-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
046817 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PRUDENTIAL | 582061514007 | 01 |
| GA | 00828396B | 05 | |
| GA | UNITED HEALTH CARE | 29-00016 | 01 |
| GA | ONE HEALTH | 8485 | 01 |
| GA | MANAGE CARE | 7231009 | 01 |
| GA | RAIL ROAD MEDICARE | 100014260 | 01 |
| GA | PROMINA | 8485 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 52237427 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104080993 | William Robert Tanner | Optometrist | 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314 | 2008-07-11 |
| 1861528374 | William Woodland Tanner | Dentist | 1939 East 5600 South, Salt Lake City, UT 84121 | 2007-02-26 |
| 1083721484 | William Geoff Tanner | Chiropractor | 8737 Dunwoody Pl, Suite 1, Atlanta, GA 30350-2985 | 2006-08-23 |
| 1750361952 | William John Tanner | Family Medicine | 415 S Pollard St, Vinton, VA 24179-2502 | 2006-01-23 |
| 1043702004 | William Tanner | Counselor | 427 W Tunnel Blvd, Houma, LA 70360-5591 | 2018-06-05 |
| 1467904797 | William Tanner | Physician Assistant | 6701 Fannin St, Houston, TX 77030-2608 | 2016-11-03 |
| 1659707529 | William Blake Tanner | Speech-Language Pathologist | 1110 Call Creek Dr, Suite 4b, Pocatello, ID 83201-3001 | 2013-09-23 |
| 1306015144 | William Dale Tanner Jr. | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2008-02-26 |
| 1629121736 | William Jeffrey Tanner | Specialist/Technologist | 2336 Dawson Rd, Suite 1100, Albany, GA 31707-2442 | 2007-01-19 |
| 1801817606 | William Marcus Tanner | Psychologist | 3939 Atlantic Ave, Suite 208, Long Beach, CA 90807-3536 | 2006-07-21 |
| Street Address |
721 WELLNESS WAY STE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427042514 | Zack Zeke Martin | Internal Medicine | 721 Wellness Way, Ste 100, Lawrenceville, GA 30046 | 2005-09-06 |
| 1629231048 | Mehul Parikh | Internal Medicine | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 | 2008-07-07 |
| 1679755029 | Internal Medicine Specialists | Internal Medicine | 721 Wellness Way, Suite 100, Lawrenceville, GA 30045-3304 | 2007-11-28 |
| 1700901311 | Gastroenterology Specialists of Gwinnett, P.C. | Specialist | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 | 2007-03-20 |
| 1477581999 | Jae Wook Nam | Internal Medicine | 721 Wellness Way, Suite100, Lawrenceville, GA 30046-3304 | 2006-06-30 |
| 1023053329 | Spencer I Rozin | Internal Medicine | 721 Wellness Way, Suite 220, Lawrenceville, GA 30046-3304 | 2006-06-19 |
| 1154371706 | Mark G. Haywood, Md, LLC | Ophthalmology | 721 Wellness Way, Ste 210, Lawrenceville, GA 30045-3304 | 2006-05-12 |
| 1720046089 | David N Armstrong | Colon & Rectal Surgery | 721 Wellness Way, Ste 200, Lawrenceville, GA 30046-3304 | 2006-05-03 |
| 1578531208 | Northeast Endoscopy Center, LLC | Clinic/Center | 721 Wellness Way, Ste 110, Lawrenceville, GA 30046-3304 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699872218 | Michael Gersten | Internal Medicine | 3 Vanderveer Dr, Lawrenceville, NJ 08648-3113 | 2006-09-17 |
| 1952350332 | Tanya M. Rutledge | Internal Medicine | 763 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-05-10 |
| 1285624148 | Srinivasa Rao Ayinala | Internal Medicine | 301 Philip Blvd Ste A, Lawrenceville, GA 30046 | 2005-10-24 |
| 1427042514 | Zack Zeke Martin | Internal Medicine | 721 Wellness Way, Ste 100, Lawrenceville, GA 30046 | 2005-09-06 |
| 1205245982 | James B Canavan | Internal Medicine | 3401 Princeton Pike, Lawrenceville, NJ 08648-1205 | 2014-08-07 |
| 1972755650 | North Georgia Digestive Disease Consultants, LLC | Internal Medicine | 475 Philip Blvd, 304, Lawrenceville, GA 30046-8737 | 2008-10-14 |
| 1629231048 | Mehul Parikh | Internal Medicine | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 | 2008-07-07 |
| 1033370762 | Bennett H. Bruckner,m.d., P.C. | Internal Medicine | 575 Professional Dr, Suite 290, Lawrenceville, GA 30045-3333 | 2008-06-25 |
| 1437319993 | Donald Minh Pham | Internal Medicine | 301 Philip Blvd Ste A, Lawrenceville, GA 30046 | 2008-06-09 |
| 1609033315 | Susan G Coe | Internal Medicine | 301 Philip Blvd Ste A, Lawrenceville, GA 30046 | 2008-05-20 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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| 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.