TANNER MEMORIAL CLINIC (NPI# 1447239355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447239355 |
| Entity Type | Organization |
| Organization Name | TANNER MEMORIAL CLINIC |
| Practice Address |
2121 N 1700 W Layton UT 84041-8803 |
| Mailing Address |
Po Box 337 Layton UT 84041-0337 |
| Practice Telephone | 8017734840 |
| Practice Fax Number | 8015258151 |
| Mailing Telephone | 8017734840 |
| Mailing Fax Number | 8015258151 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | STEVEN MEEK (PRESIDENT) |
| Authorized Official Telephone | 8017734840 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| 1265852669 | Tanner Memorial Clinic | General Practice | 3443 W 5600 S, Roy, UT 84067-9112 | 2014-04-24 |
| 1043299845 | Tanner Memorial Clinic | Internal Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2006-01-11 |
| Street Address |
2121 N 1700 W |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808122 | Khaldoun M Al-rayess | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-08-16 |
| 1306443940 | Jodi Mansfield | Counselor | 2121 N 1700 W, Layton, UT 84041-8803 | 2020-10-07 |
| 1639780745 | Darren Strong | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2020-08-12 |
| 1710545603 | Ann-kristin Swahn | Nurse Practitioner | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-06-05 |
| 1386209641 | Rachael Gardner | Dietitian, Registered | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-05-02 |
| 1346704418 | Cindy Johnston | Registered Nurse | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-01-23 |
| 1003388265 | Aaron Joseph Reich | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-12-27 |
| 1588136485 | Eleanore Debbie Weese | Nurse Practitioner | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-12-18 |
| 1124593942 | Eric Marvin Carl Monfrooy | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-10-08 |
| 1346725678 | Marcus Chavez | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| 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 |
|---|---|---|---|---|
| 1821698077 | Gayle Marie Mortensen | Internal Medicine | 1619 Hillsboro Dr, Layton, UT 84040-8250 | 2020-10-27 |
| 1770527871 | East Layton Internal Medicine LLC | Internal Medicine | 1240 East Highway 193, Suite G-1, Layton, UT 84040 | 2006-06-16 |
| 1881635845 | Amandeep Singh Chadha | Internal Medicine | 2132 N 1700 W, Ste 110, Layton, UT 84041-7057 | 2006-06-09 |
| 1750816161 | Gregory Phillip Gardner | Internal Medicine | 1492 W Antelope Dr Ste 203, Layton, UT 84041-1141 | 2017-04-23 |
| 1497209050 | Brock Aldrich | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2016-08-11 |
| 1811258601 | Terrence Wayne Andrews | Internal Medicine | 2132 N Robins Dr Ste 307, Layton, UT 84041-7077 | 2012-06-07 |
| 1780987719 | Lisa Anne Harward | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2010-12-14 |
| 1922230770 | Dominika Gabriela Janowski | Internal Medicine | 1492 W Antelope Dr, 203, Layton, UT 84041-1139 | 2009-08-12 |
| 1508027541 | Gaurav Dagar | Internal Medicine | 2132 N Robins Dr Ste 307, Layton, UT 84041-7077 | 2008-06-23 |
| 1679782031 | Catherine Michelle Coles | Internal Medicine | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1139 | 2007-05-22 |
| Find all providers in LAYTON | ||||
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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.