TANNER MARK BZDEL (NPI# 1831736388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831736388 |
| Entity Type | Individual |
| Full Name | TANNER MARK BZDEL |
| Practice Address |
3 Courtney Ln Southampton MA 01073-9646 |
| Practice Telephone | 4133208371 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3 COURTNEY LN |
| City | SOUTHAMPTON |
| State | MA |
| Zip Code | 01073-9646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942496344 | Southampton Family Dentistry, LLC | Dentist | 4 Line Street, Southampton, MA 01073 | 2007-09-19 |
| 1861616955 | Jerry P Will Sr. | Technician/Technologist | 15 B College Highway, 15 B Southampton Optical, Southampton, MA 01073 | 2007-04-12 |
| 1316013485 | Wendy Dixon | Dentist | 4 Park Ave, Sugarloaf Dental, South Deerfield, MA 01073 | 2006-11-28 |
| 1093854432 | Hans-christoph Beer | Dentist | 16 Pomeroy Meadow Rd, Southampton, MA 01073-0156 | 2007-02-05 |
| 1659304723 | Town of Southampton | Ambulance | 204 College Hwy, Southampton, MA 01073-0428 | 2006-07-09 |
| 1992798383 | Michael Jude Glaiel | Chiropractor | 166 College Hwy, Southampton, MA 01073-9272 | 2005-08-31 |
| 1013463140 | Kelly Bado, O.d. | Optometrist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2016-08-29 |
| 1992302392 | Constant Vision 2020 | Technician/Technologist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2020-10-08 |
| 1205450129 | Yves Constant | Technician/Technologist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2020-06-05 |
| 1043292089 | Mark Albert Bigda | Internal Medicine | 6 Parc Pl, Suite A, Southampton, MA 01073-9277 | 2005-11-16 |
| Find all providers in zip 01073 | ||||
| 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 |
|---|---|---|---|---|
| 1134735327 | Nickolas Auleta | Student in an Organized Health Care Education/Training Program | 7 Buckingham Dr, Southampton, NJ 08088-1101 | 2020-09-22 |
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1831650472 | Allison Michelle Nguyen | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton Hospital, 240 Meeting House Ln, Southampton, NY 11968-5009 | 2019-03-27 |
| 1902411622 | Lucie Lavelle | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2020-09-10 |
| 1609488436 | Danielle Vigliarolo | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2020-08-21 |
| 1174152425 | Ifesinachi C. Nnaji | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2020-04-07 |
| 1063041572 | Elnaz Mahbub | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2020-04-06 |
| 1801425301 | Faiz F Kabbinavar | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2020-04-06 |
| 1891324877 | Garry Gurbir Lachhar | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2020-04-02 |
| 1467080770 | Jake A Hunter | Student in an Organized Health Care Education/Training Program | 330 Meeting House Ln, Southampton, NY 11968-5064 | 2020-03-31 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 01073 |
Please comment or provide details below to improve the information on TANNER MARK BZDEL.
| 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.