Jason F Tanner (NPI# 1447547385, PAC ID# 5597915108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1447547385 |
| PAC ID by PECOS | 5597915108 |
| Professional Enrollment ID | I20180219001250 |
| Full Name | Jason F Tanner |
| Organization Legal Name | SAMARITAN EMERGENCY PHYSICIANS, LLP |
| Address |
909 E Snyder Ave Montpelier OH 43543-1251 |
| Phone Number | 4194853154 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 1759295330 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 150088 | ST. VINCENT ANDERSON REGIONAL HOSPITAL |
| 360076 | ATRIUM MEDICAL CENTER |
| 360079 | KETTERING MEDICAL CENTER |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| Address | Phone | Organization |
|---|---|---|
| 1000 Saint Christopher Dr, Ashland, KY 41101-7034 | 6068333333 | SOUND PHYSICIANS EMERGENCY MEDICINE OF KENTUCKY PLLC |
| 1025 Ctr St, Ashland, OH 44805-4011 | 4192890491 | SAMARITAN EMERGENCY PHYSICIANS, LLP |
| 3535 Southern Blvd, Kettering, OH 45429-1221 | 9377024024 | EMERGENCY MEDICINE SPECIALISTS INC |
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 9373848791 | EMERGENCY MEDICINE SPECIALISTS INC |
| 909 E Snyder Ave, Montpelier, OH 43543-1251 | 4194853154 | SAMARITAN EMERGENCY PHYSICIANS, LLP |
| Organization Legal Name | SAMARITAN EMERGENCY PHYSICIANS, LLP |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret M Poznalska | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
| Jeffrey A Nielson | Emergency Medicine | Samaritan Emergency Physicians, LLP | 433 W High St, Bryan, OH 43506-1690 |
| Tim Ivan Moomaw | Nurse Practitioner | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
| Paul G Cornici | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
| Justin R Andes | Emergency Medicine | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
| Waseem A Khawaja | Emergency Medicine | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
| Mark W Swift | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
| Saulius Ivanauskas | Family Medicine | Samaritan Emergency Physicians, LLP | 1025 Ctr St, Ashland, OH 44805-4011 |
| Street Address |
909 E SNYDER AVE |
| City | MONTPELIER |
| State | OH |
| Zip | 43543-1251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret M Poznalska | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
| Paul G Cornici | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
| Mark W Swift | Emergency Medicine | Samaritan Emergency Physicians, LLP | 909 E Snyder Ave, Montpelier, OH 43543-1251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua M Schlade | Chiropractic | 1225 E Main St, Montpelier, OH 43543-1247 | |
| Brian Patrick Bradbee | Nurse Practitioner | Midwest Community Health Associates, Inc. | 935 E Snyder Ave, Montpelier, OH 43543-1251 |
| City | MONTPELIER |
| Zip Code | 43543 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MONTPELIER + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.