LAURA STEFFEN TANNER (NPI# 1053400499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053400499 |
| Entity Type | Individual |
| Full Name | LAURA STEFFEN TANNER |
| Credential | M.D. |
| Practice Address |
1124 Gallery Park Boulevard #200 Wilmington NC 28412 |
| Mailing Address |
2421 Silver Stream Lane Wilmington NC 28401-0000 |
| Practice Telephone | 9103953477 |
| Practice Fax Number | 9108153479 |
| Mailing Telephone | 9103953477 |
| Mailing Fax Number | 9108153479 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 34176 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 070008802 | 01 |
| NC | BCBS NC | 8149B | 01 |
| NC | 898149B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659664795 | Laura Christine Tanner | Midwife | 583 Clarmar Dr Ne, Salem, OR 97301-4826 | 2011-05-24 |
| Street Address |
1124 GALLERY PARK BOULEVARD #200 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619904810 | Paula Babiss | Internal Medicine | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2006-06-26 |
| 1043852148 | Danielle M. Gough, Dmd, Pllc | Dentist | 1124 Gallery Park Boulevard, Wilmington, NC 28412 | 2019-10-10 |
| 1104210558 | Rebecca Maphis | Nurse Practitioner | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2015-03-24 |
| 1114066867 | Megan Louise Vigliano | Physician Assistant | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2007-02-06 |
| 1235296013 | Edith Lynne Saffo | Nurse Practitioner | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2007-01-02 |
| 1124129671 | Brian Richard Webster | Internal Medicine | 1124 Gallery Park Boulevard, #200, Wilmington, NC 28412 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1063682078 | Patricia Richards | Dermatology | Wilmington Vamc, 1601 Kirkwood Highway, Wilmington, DE 19805 | 2008-03-05 |
| 1023286861 | Tracy A Novosel | Dermatology | 6781 Parker Farm Dr Ste 300, Wilmington, NC 28405 | 2008-02-14 |
| 1821170945 | Billie Forehand Cosgrove | Dermatology | 1814 Glen Meade Rd, Wilmington, NC 28403-6023 | 2006-10-19 |
| 1699785451 | Eric J Oliet | Dermatology | 800 Delaware Avenue, Wilmington, DE 19801-1322 | 2006-08-08 |
| 1508886821 | Heather Aimee Loesch | Dermatology | 2504 Delaney Avenue, Wilmington, NC 28403-6002 | 2006-07-20 |
| 1962437459 | Maurice A.thew M.d., P.a. | Dermatology | 19 The Commons, 3516 Silverside Road, Wilmington, DE 19810-4932 | 2006-07-12 |
| 1780619270 | Maurice A Thew | Dermatology | 3516 Silverside Rd, Wilmington, DE 19810-4932 | 2006-07-12 |
| 1467494955 | Catherine Healy Kassens | Dermatology | 1984 S 16th St, Suite 1, Wilmington, NC 28401-6647 | 2006-06-11 |
| 1134187594 | Jonathan Stuart Crane | Dermatology | 1099 Medical Center Dr Ste 201, Wilmington, NC 28401-7346 | 2006-05-03 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
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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.