TANNER CLARK


Address: 1959 Ne Pacific St Box 357115, Seattle, WA 98195-0002
Phone: 2065986483

TANNER CLARK (NPI# 1689060139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689060139
Entity Type Individual
Full Name TANNER CLARK
Credential M.D.
Practice Address 1959 Ne Pacific St Box 357115
Seattle
WA 98195-0002
Mailing Address 1959 Ne Pacific St
Seattle
WA 98195-0001
Practice Telephone 2065986483
Mailing Telephone 2065986483
Enumeration Date 2015-04-11
Last Update Date 2017-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
ML60762104 WA Allopathic & Osteopathic Physicians

Other Providers TANNER CLARK

NPI Name Taxonomy Address Enumeration
1679841811 Tanner Mark Clark Dentist 2203 Fitzwater St Unit 1, Philadelphia, PA 19146-1132 2011-12-02
1215465042 Tanner Clark Chiropractor 458 N 500 W, Bountiful, UT 84010-6948 2017-05-24
1427421668 Tanner Clark Marriage & Family Therapist 326 W 11th St, Shawnee, OK 74801-6710 2015-11-10
1790734796 Tanner Jay Clark Dentist 650 W. Cherry St., Suite 5, North Liberty, IA 52317 2006-05-08

Office Location

Street Address 1959 NE PACIFIC ST BOX 357115
City SEATTLE
State WA
Zip Code 98195-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093859571 Alexander P Tornow Radiology 1959 Ne Pacific St Box 357115, Seattle, WA 98195-7115 2007-02-16
1407207301 Muhammad Aziz Internal Medicine 1959 Ne Pacific St Box 357115, Room Bb308n, Seattle, WA 98195 2016-06-22
1558725648 Adam Paul Skibinski Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St Box 357115, Seattle, WA 98195-2742 2016-04-05
1225490592 Segen Aklilu Radiology 1959 Ne Pacific St Box 357115, Seattle, WA 98195-1018 2016-03-24
1508251323 Kyle S Spearman Radiology 1959 Ne Pacific St Box 357115, Seattle, WA 98195-7115 2015-03-30
1306252002 Brendan Quiney Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St Box 357115, Department of Radiology, Seattle, WA 98195-0001 2014-07-02
1225456445 Sean Wo Radiology 1959 Ne Pacific St Box 357115, Seattle, WA 98195-7115 2014-04-03
1538482617 Delacy Lamuth Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St Box 357115, Seattle, WA 98195-0001 2010-03-03
1407064421 Mariam Moshiri Radiology 1959 Ne Pacific St Box 357115, Seattle, WA 98195-7115 2007-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730700741 Christian Van Rooyen Student in an Organized Health Care Education/Training Program 1951 Pacific Street, Seattle, WA 98195 2020-04-30
1720608235 Alexander John Arnold Psychiatry & Neurology 1959 Ne Pacific St, Rr650, Seattle, WA 98195 2020-04-24
1588127138 Scott Boop Student in an Organized Health Care Education/Training Program Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 2019-04-10
1275093973 Elizabeth Grace Knoff Floodeen Oral & Maxillofacial Surgery University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 2019-03-20
1780174722 Matias Eduardo Czerwonko Pupi Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 2018-05-15
1235636143 Caitlin Aiko Harrington Student in an Organized Health Care Education/Training Program University of Washington Internal Medicine Residency, Seattle, WA 98195 2018-04-07
1851897243 Natalie Miller Student in an Organized Health Care Education/Training Program University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 2018-04-04
1386140978 Elena Luisa Pellicer Student in an Organized Health Care Education/Training Program Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 2018-04-02
1407386824 Sherry S Wang Radiology Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 2017-06-18
1932638137 Maziar Riazy Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 2017-06-09
Find all providers in zip 98195

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790325710 Proliance Surgeons, Inc., P.s. Radiology 1101 Madison St Ste 580, Seattle, WA 98104-4305 2020-01-07
1447711544 Ashkan Jonathan Ahmadian Radiology 1959 Ne Pacific Street Radiology Department Rr 210, Seattle, WA 98195-1019 2019-03-29
1639653017 Radia Imaging Center Holdings LLC Radiology 1229 Madison St Ste 900, Seattle, WA 98104-1391 2018-09-20
1427546597 Kiet Van Vo Radiology 1959 Ne Pacific St # 357115, Seattle, WA 98195-0001 2018-04-24
1861846057 Ethan Hua Radiology Radiology Department Rr 210 1959 Ne Pacific, Seattle, WA 98195-0001 2016-04-14
1437537354 Mahmood Albahhar Radiology 4245 Roosevelt Way Ne Box 354755, University of Washington Medical Center, Seattle, WA 98105 2015-05-12
1336533991 Keegan Hovis Radiology 1959 Ne Pacific Street Radiology Department, Seattle, WA 98195-3358 2015-03-22
1356740930 Mazen E Zawaideh Radiology 588 Bell St Unit 3705, Seattle, WA 98121-1923 2014-08-19
1962821991 Berthina B. Coleman Radiology 747 Broadway, Suite Ww- 739, Swedish Medical Center, General Surgery Residency Progr, Seattle, WA 98122-4307 2014-04-07
1295153120 Peyvand Pordeli Radiology Department of Radiology Body Image Section, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195-7115 2014-03-28
Find all providers in SEATTLE

Competitor

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City SEATTLE
Zip Code 98195

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Dataset Information

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.

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