Scott W Tanner (NPI# 1033105622, PAC ID# 7113909128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1033105622 |
| PAC ID by PECOS | 7113909128 |
| Professional Enrollment ID | I20040603000688 |
| Full Name | Scott W Tanner |
| Organization Legal Name | ANESTHESIA SERVICES OF MID MISSOURI |
| Address |
1410 Forum Katy Pkwy Suite 102 Columbia MO 65203-6325 |
| Phone Number | 5733976556 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4183943384 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260064 | SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN |
| 260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
| Address | Phone | Organization |
|---|---|---|
| 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 | 5733976556 | ANESTHESIA SERVICES OF MID MISSOURI |
| 305 N Keen St, Suite 107, Columbus, MO 65201-6897 | 5732566272 | MID-AMERICA ANESTHESIA CONSULTANTS, PC |
| 1705 Christy Dr, Jefferson City, MO 65101-5195 | 5736357022 | MID MISSOURI ANESTHESIA CONSULTANTS PC |
| Organization Legal Name | ANESTHESIA SERVICES OF MID MISSOURI |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adriana Daveiga Mcgarity | Anesthesiology | Anesthesia Services of Mid Missouri | 305 N Keene St, 107 Surgery Center of Columbia, Columbia, MO 65201-6897 |
| Barbara Ann Page | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| Tamra Busick | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| Bradley E Labenz | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| William A Cass | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| David M Hawkins | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| Robin U Michitsch | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| Street Address |
1410 FORUM KATY PKWY SUITE 102 |
| City | COLUMBIA |
| State | MO |
| Zip | 65203-6325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Ann Page | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| Tamra Busick | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| Bradley E Labenz | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| William A Cass | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| David M Hawkins | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| Robin U Michitsch | Anesthesiology | Anesthesia Services of Mid Missouri | 1410 Forum Katy Pkwy, Suite 102, Columbia, MO 65203-6325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Humera Ahsan | Diagnostic Radiology | The Curators of The University of Missouri | 3302 W Broadway A, Columbia, MO 65203-0001 |
| Benjamin H Crenshaw | Family Medicine | The Curators of The University of Missouri | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Kayla Christine Strodtman | Nurse Practitioner | The Curators of The University of Missouri | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Susan Lynn Runyon | Nurse Practitioner | The Curators of The University of Missouri | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Brenda K Mcsherry | Nurse Practitioner | Curators of The University Of | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Jennifer J Chapman | Physician Assistant | Curators of The University Of | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Leeann Barrett | Optometry | Columbia Family Focus Eyecare LLC | 3301 W Broadway Business Park Ct E, Columbia, MO 65203-0106 |
| Stephanie Lee Marsden | Chiropractic | 3304 W Broadway Business Park Ct, Suite I, Columbia, MO 65203-0109 | |
| Brittany Lea Overman | Chiropractic | 3302 W Broadway Business Park Ct, Suite D, Columbia, MO 65203-0169 | |
| Kurtis L Lackland | Physical Therapy | Central Missouri Physical Therapy LLC | 2003 W Broadway, Suite 105, Columbia, MO 65203-1111 |
| Find all physicians in zip 65203 | |||
| City | COLUMBIA |
| Zip Code | 65203 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | COLUMBIA + ANESTHESIOLOGY |
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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.