DR. GREGORY JUSTIN TANNER (NPI# 1336587203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336587203 |
| Entity Type | Individual |
| Full Name | DR. GREGORY JUSTIN TANNER |
| Credential | MD |
| Practice Address |
17 Davis Blvd Ste 308 Tampa FL 33606-3438 |
| Practice Telephone | 8132598684 |
| Practice Fax Number | 8132590665 |
| Mailing Telephone | (813) 250-2506 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2017-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693187 | Gregory L. Tanner | Marriage & Family Therapist | 2121 Herndon Ave, Clovis, CA 93611-6302 | 2020-09-12 |
| 1467737759 | Gregory W Tanner | Orthopaedic Surgery | 501 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2011-10-18 |
| 1598875973 | Gregory C Tanner | Obstetrics & Gynecology | 9600 S 1300 E, Ste 305, Sandy, UT 84094-3766 | 2006-08-30 |
| Street Address |
17 DAVIS BLVD STE 308 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972536597 | Mary Ann V Miranda | Internal Medicine | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2006-07-08 |
| 1356955264 | Chen Wang | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-09-08 |
| 1801404413 | Abida Poovathukaran Babu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-07-20 |
| 1952919581 | Ahmad Omar Mohammad Armouti | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-07-20 |
| 1518585934 | Georges Haidamous | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-07-13 |
| 1689292260 | Sanita Raju | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-07-09 |
| 1366069957 | Sukjoo Cho | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-06-29 |
| 1689295461 | Brianna L Walker | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-05-03 |
| 1134740285 | Jason Robert Gandre | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-04-29 |
| 1366063695 | Sabah Akbani | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1578162947 | Hayly Alexandrea Babcock | Student in an Organized Health Care Education/Training Program | 936 S Howard Ave Unit 305, Tampa, FL 33606-2492 | 2020-10-18 |
| 1821605023 | Jenna Vachon | Student in an Organized Health Care Education/Training Program | 7413 S West Shore Blvd, Tampa, FL 33616-2818 | 2020-09-30 |
| 1255947131 | Jesse Wood | Student in an Organized Health Care Education/Training Program | 124 S Morgan St Unit 1123, Tampa, FL 33602-5325 | 2020-09-16 |
| 1053925321 | Miranda Nunez | Student in an Organized Health Care Education/Training Program | 2806 W Powhatan Ave, Tampa, FL 33614-6039 | 2020-09-03 |
| 1114536141 | Natalie Michelle Fernandez | Student in an Organized Health Care Education/Training Program | 3107 N Perry Ave, Tampa, FL 33603-5346 | 2020-07-27 |
| 1215552112 | Yaimara Pena | Student in an Organized Health Care Education/Training Program | 10134 Lake Oak Cir, Tampa, FL 33624-5214 | 2020-06-16 |
| 1538784780 | Kristen N Moeller | Student in an Organized Health Care Education/Training Program | 6119 D and J Dr, Tampa, FL 33625-3264 | 2020-06-13 |
| 1548884513 | Bassam Aysheh | Student in an Organized Health Care Education/Training Program | 10350 Rosemount Dr, Tampa, FL 33624-5122 | 2020-06-04 |
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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.