BRETT DOUGLAS TANNING (NPI# 1144669755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144669755 |
| Entity Type | Individual |
| Full Name | BRETT DOUGLAS TANNING |
| Credential | MD |
| Practice Address |
1025 Marsh St Mankato MN 56001-4752 |
| Practice Telephone | 5076254031 |
| Mailing Telephone | 5076254031 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 61216 | MN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301103442 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301103442 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Oakland Dr, Kalamazoo, MI 490081282 | 2693374400 |
| Street Address |
1025 MARSH ST |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316206 | James J Milavetz | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-09-14 |
| 1811596059 | Kiman Dinh | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-10-20 |
| 1295349710 | Joseph Flynn | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-09-02 |
| 1972115962 | Mohamed A Ibrahim | Community Health Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-08-20 |
| 1174147110 | Emily Behrend | Advanced Practice Midwife | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-06-05 |
| 1205455755 | Whitney Farr | Social Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-04-15 |
| 1134765233 | Kay S Williams | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-23 |
| 1871138263 | Sydney Mcinnis | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-09 |
| 1730739061 | Kelsey Elizabeth Mork | Physician Assistant | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-18 |
| 1891345369 | Matthew Joseph Perri | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154689370 | David Joseph Gresback | Emergency Medicine | 1025 Marsh St Dept Of, Mankato, MN 56001-4752 | 2012-04-25 |
| 1417932070 | Robert W Christensen | Emergency Medicine | 1 Capri Dr, Mankato, MN 56001-4119 | 2005-12-07 |
| 1205835469 | Michael R Gartner | Emergency Medicine | Mayo Clinic Health System, 1025, Mankato, MN 56001-5600 | 2005-07-20 |
| 1053842831 | Charles Lewis Kieffer | Emergency Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2017-03-23 |
| 1730639162 | Medexpress Urgent Care Minnesota PC | Emergency Medicine | 921 Madison Ave, Suite 102, Mankato, MN 56001-6141 | 2016-10-10 |
| 1720466055 | Brady Pennig | Emergency Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2015-05-06 |
| 1174939904 | Linda Sara Russo | Emergency Medicine | 1025 Marsh St, Mankato, MN 56001 | 2014-07-01 |
| 1497175772 | Jason Henry Planas | Emergency Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-04-24 |
| 1316365281 | Paul Daniel Williams | Emergency Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-03-28 |
| 1437490760 | Kevin Randish Kapoor | Emergency Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2013-03-12 |
| Find all providers in MANKATO | ||||
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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.