BRUCE TANNER (NPI# 1952766040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952766040 |
| Entity Type | Individual |
| Full Name | BRUCE TANNER |
| Practice Address |
9068 Oneida River Park Dr Clay NY 13041-9625 |
| Practice Telephone | 3154365699 |
| Practice Fax Number | 3154094156 |
| Mailing Telephone | 3154365699 |
| Mailing Fax Number | 3154094156 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
9068 ONEIDA RIVER PARK DR |
| City | CLAY |
| State | NY |
| Zip Code | 13041-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653969 | Manal Asein Zraik | Specialist | 8485 Newbury Place, Clay, NY 13041 | 2014-09-29 |
| 1447485776 | Terri Jo Henrich | Licensed Practical Nurse | 5170 State Route 31 Apartment 2, Clay, NY 13041 | 2009-05-15 |
| 1255445276 | Wal-mart Stores East, Lp | Technician/Technologist | 8770 Dell Center Dr, Clay, NY 13041 | 2006-08-18 |
| 1871108225 | Nicki Delvecchio | Dietitian, Registered | 8809 Norcross Dr, Clay, NY 13041-2556 | 2020-09-12 |
| 1982067195 | Stephanie Marie Kelly | Licensed Practical Nurse | 5626 Bunbury Ter, Clay, NY 13041-6910 | 2016-04-04 |
| 1508319369 | Reeba Thankachan | Nurse Practitioner | 5301 Barcaldine Dr, Clay, NY 13041-6913 | 2016-07-28 |
| 1972907087 | Sara Elizabeth Gordon | Physical Therapy Assistant | 8255 Trevi Ln, Clay, NY 13041-6920 | 2014-10-17 |
| 1053503276 | Trina Veronica Mathias | Licensed Practical Nurse | 23 Mirage Ln, Clay, NY 13041-6924 | 2007-08-12 |
| 1518112507 | Kristie Santore Relyea | Occupational Therapist | 5468 Congleton Cir, Clay, NY 13041-6932 | 2008-11-18 |
| 1962802132 | Kimberly Jean Sprague | Early Intervention Provider Agency | 5425 Topsfield Ln, Clay, NY 13041-8608 | 2014-08-25 |
| Find all providers in zip 13041 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982121844 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 173 Main St, Clay, WV 25043 | 2017-08-23 |
| 1265823447 | Advantage Home Care LLC | Durable Medical Equipment & Medical Supplies | 151 Main Street, Clay, WV 25043 | 2015-02-10 |
| 1275791626 | Associated Healthcare Systems, Inc | Durable Medical Equipment & Medical Supplies | 4160 Route 31, Suite 615, Clay, NY 13041-8719 | 2008-05-31 |
| 1205945532 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 173 Main Street, Clay, WV 25043 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1639770258 | Orthowellness, Inc | Durable Medical Equipment & Medical Supplies | 771 Hempstead Tpke, Elmont, NY 11003-2439 | 2020-11-02 |
| 1992305809 | Heal It Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 266 Jericho Tpke Ste 111, Floral Park, NY 11001-2170 | 2020-10-29 |
| 1770182537 | Ortho-aid Inc | Durable Medical Equipment & Medical Supplies | 20526 Linden Blvd, Saint Albans, NY 11412-2926 | 2020-10-22 |
| 1376142257 | On Hand Medical Inc | Durable Medical Equipment & Medical Supplies | 740 Myrtle Ave, Brooklyn, NY 11205-3953 | 2020-10-21 |
| 1063011260 | Bella Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 52 S Stone Ave, Elmsford, NY 10523-3607 | 2020-10-20 |
| 1720687023 | 82nd Corner LLC | Durable Medical Equipment & Medical Supplies | 461 Columbus Ave, New York, NY 10024-5107 | 2020-10-19 |
| 1497353221 | Ozone Park Supply Inc | Durable Medical Equipment & Medical Supplies | 9718 101st Ave, Ozone Park, NY 11416-2561 | 2020-10-14 |
| 1710585559 | Quality Med Equp Inc | Durable Medical Equipment & Medical Supplies | 18742a Hillside Ave, Jamaica, NY 11432-3217 | 2020-10-14 |
| 1770181901 | Ave U Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1306 Avenue U, Brooklyn, NY 11229-3306 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRUCE TANNER.
| 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.