TANNER MEMORIAL CLINIC (NPI# 1104356013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104356013 |
| Entity Type | Organization |
| Organization Name | TANNER MEMORIAL CLINIC |
| Other Organization Name | TANNER CLINIC |
| Practice Address |
5296 S Commerce Dr Murray UT 84107-4767 |
| Mailing Address |
Po Box 337 Layton UT 84041-0337 |
| Practice Telephone | 8017734840 |
| Practice Fax Number | 8015258151 |
| Mailing Telephone | 8017734840 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | KEVIN SPAINHOWER (BUSINESS SERVICES DIRECTOR) |
| Authorized Official Telephone | 8015258726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tanner Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572503 | Tanner Memorial Clinic | Internal Medicine | 380 N 400 W, Kaysville, UT 84037-3135 | 2006-01-11 |
| 1922638287 | Tanner Memorial Clinic | Internal Medicine | 2132 N 1700 W, Suite 310, Layton, UT 84041 | 2020-01-24 |
| 1609406511 | Tanner Memorial Clinic | Internal Medicine | 6028 S Ridgeline Dr Ste 201, Ogden, UT 84405-6908 | 2020-01-20 |
| 1801364369 | Tanner Memorial Clinic | Family Medicine | 1477 N 2000 W Ste C, Clinton, UT 84015-9099 | 2018-11-02 |
| 1760934533 | Tanner Memorial Clinic | Family Medicine | 1750 E 3100 N, Layton, UT 84040 | 2016-10-27 |
| 1265852669 | Tanner Memorial Clinic | General Practice | 3443 W 5600 S, Roy, UT 84067-9112 | 2014-04-24 |
| 1043299845 | Tanner Memorial Clinic | Internal Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2006-01-11 |
| 1447239355 | Tanner Memorial Clinic | Allergy & Immunology | 2121 N 1700 W, Layton, UT 84041-8803 | 2006-01-10 |
| Street Address |
5296 S COMMERCE DR |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-4767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639369853 | Loida Viera-hutchins | Allergy & Immunology | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2007-07-25 |
| 1770905705 | Emere Utah, LLC | Physical Medicine & Rehabilitation | 5296 S Commerce Dr, Suite 104, Murray, UT 84107-4767 | 2014-01-10 |
| 1518287846 | Jonathan Ashton Olsen | Allergy & Immunology | 5296 S Commerce Dr, Suite 104, Murray, UT 84107-4767 | 2010-06-09 |
| 1659533669 | Rafael Firszt | Specialist | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144648213 | Gourley Allergy & Asthma PC | Allergy & Immunology | 6065 S Fashion Blvd, Ste 255, Murray, UT 84107-7381 | 2014-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306027842 | Aaron Kobernick | Allergy & Immunology | 50 N Medical Dr # 28, Salt Lake City, UT 84132-2632 | 2007-11-26 |
| 1023012911 | Timothy John Sullivan IIi | Allergy & Immunology | 4403 Harrison Blvd., Ste 4640, Ogden, UT 84403-3304 | 2005-06-08 |
| 1659616241 | Rocky Mountain Allergy Asthma and Immunology, LLC | Allergy & Immunology | 1660 W Antelope Dr, Suite 225, Layton, UT 84041-1156 | 2012-12-07 |
| 1548513799 | Timothy Sullivan, Md PC | Allergy & Immunology | 4403 Harrison Blvd, Ste# 4640, Ogden, UT 84403-3271 | 2012-10-24 |
| 1902080237 | Robert Silge | Allergy & Immunology | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2007-12-21 |
| 1467576322 | Scott D Dickson | Allergy & Immunology | 1350 N 500 E, Logan, UT 84341-2400 | 2007-03-18 |
| 1780716563 | Vicki J Lyons Md PC | Allergy & Immunology | 4403 Harrison Blvd, Suite 4640, Ogden, UT 84403-3271 | 2007-03-09 |
| 1346324761 | Douglas Harry Jones | Allergy & Immunology | 2121 N 1700 W, Layton, UT 84041-8803 | 2006-10-24 |
| 1942318530 | Marcia L Muggelberg | Allergy & Immunology | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-08-25 |
| 1265487300 | Jan B Bernhisel-broadbent | Allergy & Immunology | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2006-05-24 |
| Find all providers with the same taxonomy | ||||
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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.