TANNER MEMORIAL CLINIC (NPI# 1265852669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265852669 |
| Entity Type | Organization |
| Organization Name | TANNER MEMORIAL CLINIC |
| Other Organization Name | TANNER CLINIC |
| Practice Address |
3443 W 5600 S Roy UT 84067-9112 |
| Mailing Address |
Po Box 337 Layton UT 84041-0337 |
| Practice Telephone | 8017734840 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | KEVIN SPAINHOWER (BUSINESS SERVICES DIRECTOR) |
| Authorized Official Telephone | 8017734840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tanner Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572503 | Tanner Memorial Clinic | Internal Medicine | 380 N 400 W, Kaysville, UT 84037-3135 | 2006-01-11 |
| 1922638287 | Tanner Memorial Clinic | Internal Medicine | 2132 N 1700 W, Suite 310, Layton, UT 84041 | 2020-01-24 |
| 1609406511 | Tanner Memorial Clinic | Internal Medicine | 6028 S Ridgeline Dr Ste 201, Ogden, UT 84405-6908 | 2020-01-20 |
| 1801364369 | Tanner Memorial Clinic | Family Medicine | 1477 N 2000 W Ste C, Clinton, UT 84015-9099 | 2018-11-02 |
| 1104356013 | Tanner Memorial Clinic | Allergy & Immunology | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2017-06-13 |
| 1760934533 | Tanner Memorial Clinic | Family Medicine | 1750 E 3100 N, Layton, UT 84040 | 2016-10-27 |
| 1043299845 | Tanner Memorial Clinic | Internal Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2006-01-11 |
| 1447239355 | Tanner Memorial Clinic | Allergy & Immunology | 2121 N 1700 W, Layton, UT 84041-8803 | 2006-01-10 |
| Street Address |
3443 W 5600 S |
| City | ROY |
| State | UT |
| Zip Code | 84067-9112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073798377 | Tyler Ray Williams | Internal Medicine | 3443 W 5600 S, Roy, UT 84067-9103 | 2008-01-04 |
| 1588025969 | Jill Woodring | Nurse Practitioner | 3443 W 5600 S, Roy, UT 84067-9103 | 2016-03-14 |
| 1003174129 | Stephen Craig Merrell | Family Medicine | 3443 W 5600 S, Roy, UT 84067-9103 | 2012-04-26 |
| 1891003265 | Critt Farr Aardema | Family Medicine | 3443 W 5600 S, Roy, UT 84067-9103 | 2010-09-20 |
| 1295966414 | Apothecary Pointe Pharmacy Inc | Pharmacy | 3443 W 5600 S, Roy, UT 84067-9103 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218220 | Breen Family Medicine, Pllc | Nurse Practitioner | 5991 S 3500 N, Roy, UT 84067 | 2020-06-01 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1609258433 | Daniel Neumann | Pediatrics | 5682 S 3500 W, Roy, UT 84067 | 2015-06-29 |
| 1659641868 | Kelson Physijcian Partners of Layton, Inc | Pediatrics | 4040 South Midland Dr, Suite 2, Roy, UT 84067 | 2012-01-04 |
| 1346542834 | Midland Dental | Dentist | 4040 South Midland Drive, Suite 1, Roy, UT 84067 | 2010-12-03 |
| 1437398427 | Earl M. Cammack Jr. | Counselor | 4484 So. 1900 West, Suite 6, Roy, UT 84067 | 2009-02-13 |
| 1609086495 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 5991 South 3500 West, Suite 100, Roy, UT 84067 | 2007-05-23 |
| 1396832655 | Standard Optical Co | Optometrist | 5421 S 19th W, Roy, UT 84067 | 2006-10-06 |
| 1457452864 | Paul D Hopkins Dds PC | Dentist | 4902 S 1900 W Suite 2, Roy, UT 84067 | 2006-09-26 |
| 1710085261 | Thomas R Austad | Podiatrist | 1885 West 4400 South, Roy, UT 84067 | 2006-09-20 |
| Find all providers in zip 84067 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1841856986 | Northwestern Band of The Shoshone Nation Health & Human Services Dept. | General Practice | 241 W Forest St Ste A, Brigham City, UT 84302-2014 | 2019-05-14 |
| 1790297661 | The Bridge Recovery Center | General Practice | 98 N 6680 W, Hurricane, UT 84737-6138 | 2017-10-31 |
| 1790295947 | Low T Clinic, LLC | General Practice | 2150 N Main St Ste 10, North Logan, UT 84341-1740 | 2017-10-02 |
| 1104345636 | Coral Canyon Joint & Spine Health | General Practice | 83 S 2600 W Ste 102, Hurricane, UT 84737-3268 | 2017-09-15 |
| Find all providers with the same taxonomy | ||||
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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.