DAVID E TANN (NPI# 1609275619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609275619 |
| Entity Type | Individual |
| Full Name | DAVID E TANN |
| Credential | PA |
| Practice Address |
2610 Enterprise Dr Anderson IN 46013-9684 |
| Mailing Address |
3600 W Bethel Ave Muncie IN 47304-5407 |
| Practice Telephone | 7656834400 |
| Practice Fax Number | 7656427903 |
| Mailing Telephone | 7652847738 |
| Mailing Fax Number | 7652844266 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001685A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1550 E County Line Road, Suite 200, Indianapolis, IN 462270990 | 3174976497 | 3174976400 |
| Street Address |
2610 ENTERPRISE DR |
| City | ANDERSON |
| State | IN |
| Zip Code | 46013-9684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512588 | William Hall | Pain Medicine | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2005-07-18 |
| 1710547492 | Kylie Elizabeth Martindale | Prevention Professional | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2019-06-16 |
| 1245899079 | Monica Lynn Stephens | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2019-06-05 |
| 1235616459 | Natalie Dawn Mcclintick | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2018-07-20 |
| 1730603036 | Kelsey Mcgrady | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2017-07-28 |
| 1952847584 | Allison Meyers | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2017-01-06 |
| 1629512645 | Nicholas Long | Physician Assistant | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2016-12-09 |
| 1639629785 | Brooke Earl | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2016-10-12 |
| 1154791051 | Briana M King Deley | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2015-10-05 |
| 1275927345 | Erin Platt | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2015-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
| 1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
| 1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
| 1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
| 1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
| 1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
| 1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
| 1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
| Find all providers in zip 46013 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
| 1972958338 | Shelley Marie Floyd | Physician Assistant | 800 N Fant St, Anderson, SC 29621-5708 | 2016-05-04 |
| 1093727653 | Brian Christopher Johnson | Physician Assistant | 109 Montgomery Dr, Anderson, SC 29621-3333 | 2006-08-12 |
| 1386651933 | Joseph Greg Williamson | Physician Assistant | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID E TANN.
| 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.