CARY TANNER (NPI# 1942284096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942284096 |
| Entity Type | Individual |
| Full Name | CARY TANNER |
| Credential | MD |
| Practice Address |
1630 E Herndon Ave Fresno CA 93720-3305 |
| Practice Telephone | 5592565200 |
| Practice Fax Number | 5592565376 |
| Mailing Telephone | 5592565200 |
| Mailing Fax Number | 5592565376 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2008-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
G52071 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | 200046274 | 01 |
| CA | STATE OF WASHINGTON | 0170283 | 01 |
| Street Address |
1630 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063403442 | Jerome R Dunklin | Orthopaedic Surgery | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2005-11-03 |
| 1932754488 | Alyssa Matoba | Physical Therapy Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2019-08-01 |
| 1518477348 | David A Kunz | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-10-06 |
| 1437699873 | Jennifer R Steger | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-03-05 |
| 1952841983 | Jennifer Maynez | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-02-23 |
| 1083062475 | Beau Kalmes | Family Medicine | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-05-26 |
| 1477907699 | Shari Matsuura | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-14 |
| 1134583578 | Sierra Pacific Orthopaedic Center | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-12 |
| 1679954747 | Samantha Payseno | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2015-06-15 |
| 1053714089 | Jennifer Ann Brough Wilson | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2014-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972975035 | Fresno Multi-specialty Clinic | Orthopaedic Surgery | 5293 N 1st St, Fresno, CA 93710-7007 | 2015-10-28 |
| 1629376157 | Minimally Invasive Spine Specialist Medical Center, Inc. | Orthopaedic Surgery | 1332 W Herndon Ave, Suite 100, Fresno, CA 93711-7118 | 2011-03-08 |
| 1679782924 | Stephen A. Smith | Orthopaedic Surgery | 1332 W Herndon Ave, Ste. 100, Fresno, CA 93711-7118 | 2007-05-22 |
| 1114903648 | Ricardo Avena | Orthopaedic Surgery | 2139 E Beechwood Ave, Fresno, CA 93720-0340 | 2005-12-16 |
| 1144203258 | Toby Johnson | Orthopaedic Surgery | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027050 | Bay Area Surgical Specialists | Orthopaedic Surgery | 2505 Samaritan Dr Ste 208, San Jose, CA 95124-4008 | 2019-01-16 |
| 1316484504 | James Angus Turner | Orthopaedic Surgery | 2190 Washington St, Suite 404, San Francisco, CA 94109-2869 | 2017-01-25 |
| 1477906717 | Phuc Dang, Md Corporation | Orthopaedic Surgery | 1006 Mission Dr Apt A, Suite 200, Costa Mesa, CA 92626-4217 | 2016-07-21 |
| 1528423506 | H. Relton Mccarroll Jr. Md A Medical Corporation | Orthopaedic Surgery | 2351 Clay St Ste 510, San Francisco, CA 94115-1931 | 2015-12-17 |
| 1598174492 | Paul J. Casey, Md Inc | Orthopaedic Surgery | 969 Blue Heron, Seal Beach, CA 90740-5611 | 2014-08-05 |
| 1023428901 | Austin Arlo Pitcher | Orthopaedic Surgery | 3315 Broadway Fl 1, Oakland, CA 94611-5717 | 2014-05-01 |
| 1932547536 | Hassan Jon Azimi | Orthopaedic Surgery | 8008 Frost St Ste 403, San Diego, CA 92123-4209 | 2013-06-06 |
| 1114265949 | Wayne Pan | Orthopaedic Surgery | 1475 Grandview Dr, Ms 354-g, Room 354171, South San Francisco, CA 94080-4901 | 2013-01-29 |
| 1720348162 | Ryu Yoshida | Orthopaedic Surgery | 8635 W 3rd St Ste 990w, Los Angeles, CA 90048-6116 | 2012-05-19 |
| 1285933424 | Anna Marie Acosta | Orthopaedic Surgery | 1760 Termino Ave Ste 308, Long Beach, CA 90804 | 2011-03-25 |
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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.