Tanner Bo Carlson (NPI# 1669982740, PAC ID# 7618235961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1669982740 |
| PAC ID by PECOS | 7618235961 |
| Professional Enrollment ID | I20171214003222 |
| Full Name | Tanner Bo Carlson |
| Organization Legal Name | HOPE FAMILY CARE CENTER LLC |
| Address |
285 N Broad St Globe AZ 85501-2503 |
| Phone Number | 9284258200 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9638320997 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031314 | COBRE VALLEY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 285 N Broad St, Globe, AZ 85501-2503 | 9284258200 | HOPE FAMILY CARE CENTER LLC |
| Organization Legal Name | HOPE FAMILY CARE CENTER LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly E Rooney | Family Medicine | Hope Family Care Center LLC | 285 N Broad St, Globe, AZ 85501-2503 |
| Krystal Marie Scales | Nurse Practitioner | Hope Family Care Center LLC | 285 N Broad St, Globe, AZ 85501-2503 |
| Joy M Watson | Physician Assistant | Hope Family Care Center LLC | 285 N Broad St, Globe, AZ 85501-2503 |
| Chad M Campbell | Physician Assistant | Hope Family Care Center LLC | 285 N Broad St, Globe, AZ 85501-2503 |
| Street Address |
285 N BROAD ST |
| City | GLOBE |
| State | AZ |
| Zip | 85501-2503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly E Rooney | Family Medicine | Hope Family Care Center LLC | 285 N Broad St, Globe, AZ 85501-2503 |
| Krystal Marie Scales | Nurse Practitioner | Hope Family Care Center LLC | 285 N Broad St, Globe, AZ 85501-2503 |
| Joy M Watson | Physician Assistant | Hope Family Care Center LLC | 285 N Broad St, Globe, AZ 85501-2503 |
| Chad M Campbell | Physician Assistant | Hope Family Care Center LLC | 285 N Broad St, Globe, AZ 85501-2503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloriajean Nelson | Nurse Practitioner | 1100 E Monroe St, Suite 523, Globe, AZ 85501-1327 | |
| Shannon L Padilla | Nurse Practitioner | Health Group Providers, LLC | 1100 E Monroe St, Globe, AZ 85501-1363 |
| Russell S Dal Molin | Chiropractic | 1190 E Ash St, Globe, AZ 85501-1408 | |
| Bruce C Bender | Physical Therapy | 380 S Hill St, Globe, AZ 85501-2229 | |
| John K Ekman | Nurse Practitioner | Southeastern Arizona Behavioral Health Services, Inc. | 996 N Broad St, Globe, AZ 85501-2300 |
| Gaye L Diederich | Clinical Social Worker | Southeastern Arizona Behavioral Health Services, Inc. | 996 N Broad St, Globe, AZ 85501-2300 |
| Sherida Carlson | Physician Assistant | Medcom Medical LLC | 108 S Broad St, Globe, AZ 85501-2602 |
| Julie A Grahe | Chiropractic | 138 S Broad St, Globe, AZ 85501-2602 | |
| Oscar E Andrade | Family Medicine | Medcom Medical LLC | 108 S Broad St, Globe, AZ 85501-2602 |
| Richard A Melde | General Practice | Medcom Medical LLC | 108 S Broad St, Globe, AZ 85501-2602 |
| Find all physicians in zip 85501 | |||
| City | GLOBE |
| Zip Code | 85501 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLOBE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tanner Bo Carlson.
| 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.