JUSTIN TANNER MD LLC (NPI# 1205259777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205259777 |
| Entity Type | Organization |
| Organization Name | JUSTIN TANNER MD LLC |
| Practice Address |
59724 Mancos Ln Montrose CO 81403-7375 |
| Practice Telephone | 3039064201 |
| Mailing Telephone | 3039064201 |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |
| Authorized Official Name | DR. JUSTIN TANNER (OFFICIAL) |
| Authorized Official Telephone | 3039064201 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Justin Tanner MD LLC | 3391 West Ct, Montrose, CO 81401 |
| Street Address |
59724 MANCOS LN |
| City | MONTROSE |
| State | CO |
| Zip Code | 81403-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528253960 | Kay L. Alexander | Social Worker | 16659 6250 Road, Montrose, CO 81403 | 2007-09-10 |
| 1881078483 | Jessica Howell | Home Health | 637 Spring Creek Rd, Montrose, CO 81403-3327 | 2015-07-13 |
| 1033438403 | Andrea Lee Jaeger | Massage Therapist | 320 6410 Ct, Montrose, CO 81403-4483 | 2010-05-25 |
| 1124469234 | Michael Dean Yengst | Pharmacist | 700 Paso De Pablo, Montrose, CO 81403-6340 | 2013-07-17 |
| 1568716371 | Tegan Aymond Soderlind | Occupational Therapist | 16891 Riverview Ct, Montrose, CO 81403-7484 | 2012-10-31 |
| 1598194672 | Alexis A Baca-spry | Counselor | 16659 6250 Rd, Montrose, CO 81403-7822 | 2013-11-08 |
| 1932500840 | Pegasus Equine Therapy | Social Worker | 16659 6250 Rd, Montrose, CO 81403-7822 | 2014-09-10 |
| 1316488331 | Laurie Stover | Clinic/Center | 16935 6450 Rd, Montrose, CO 81403-7868 | 2017-03-09 |
| 1477084762 | Riverside Adult Day Program, LLC | Clinic/Center | 16935 6450 Rd, Montrose, CO 81403-7868 | 2017-03-27 |
| 1609312131 | Eagle Creek Dental Hygiene | Dental Hygienist | 16061 6250 Rd, Montrose, CO 81403-7887 | 2017-01-08 |
| Find all providers in zip 81403 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1013213396 | Mark Thoma | Internal Medicine | 25 Coachlight Sq, Montrose, NY 10548-1241 | 2011-02-02 |
| 1285669598 | George William Benninger | Internal Medicine | 2094 Albony Post Rd, Hudson Valley Vd Health Care System, Montrose, NY 10548 | 2006-07-12 |
| 1114979960 | Malati Madhukar Kollali | Internal Medicine | 622 Albany Post Road, Montrose, NY 10548-0100 | 2006-05-17 |
| 1912959420 | Carol R Harrold | Internal Medicine | 2377 Robins Way, Montrose, CO 81401-5901 | 2006-05-16 |
| 1336199066 | Christine A Gieszl | Internal Medicine | 300 S Nevada Avenue, Montrose, CO 81401 | 2006-05-11 |
| 1245233378 | Michael V Brezinsky | Internal Medicine | 300 S Nevada Ave, Montrose, CO 81401-4273 | 2005-05-23 |
| 1922495001 | Ryan Wisler | Internal Medicine | 300 S Nevada Ave, Montrose, CO 81401-4273 | 2015-04-16 |
| 1376961367 | Andrew Bolton | Internal Medicine | 300 S Nevada Ave, Montrose, CO 81401-4273 | 2014-04-07 |
| 1205253408 | Dane Haden Stewart | Internal Medicine | 1800 E Pavilion Pl Unit B, Montrose, CO 81401 | 2014-03-25 |
| 1194041210 | Tierney A Lake | Internal Medicine | 300 S Nevada Ave, Montrose, CO 81401-4273 | 2010-04-14 |
| Find all providers in MONTROSE | ||||
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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.