DR. JESSICA TANNER (NPI# 1154438968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154438968 |
| Entity Type | Individual |
| Full Name | DR. JESSICA TANNER |
| Credential | M.D. |
| Practice Address |
3600 E Harry St Wichita KS 67218-3713 |
| Practice Telephone | 3166896173 |
| Mailing Telephone | 3166896173 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301078717 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | 106560 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801310271 | Jessica Renee Tanner | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2017-07-27 |
| 1124577416 | Jessica Tanner | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2016-09-27 |
| 1548509920 | Jessica Tanner | Social Worker | 1223 S Railroad Ave, Sugar City, ID 83448-5072 | 2013-02-05 |
| Street Address |
3600 E HARRY ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073812 | Philippe Samson | Pediatrics | 3600 E Harry St, Wichita, KS 67218-3713 | 2005-06-15 |
| 1326664822 | Boaz B Beard | Physical Therapist | 3600 E Harry St, Wichita, KS 67218-3713 | 2020-06-19 |
| 1932680071 | Nathen D Yunker | Registered Nurse | 3600 E Harry St, Wichita, KS 67218-3713 | 2018-08-27 |
| 1730697012 | Ryan Patrick Prebble | Nurse Practitioner | 3600 E Harry St, Wichita, KS 67218-3713 | 2018-01-20 |
| 1730699844 | Anna Marie Sewell | Nurse Practitioner | 3600 E Harry St, Wichita, KS 67218-3713 | 2017-10-03 |
| 1598145005 | Ascension Via Christi Imaging Wichita, LLC | Radiology | 3600 E Harry St, Wichita, KS 67218-3713 | 2015-06-01 |
| 1659768125 | Cep America-kansas, LLC | Emergency Medicine | 3600 E Harry St, Wichita, KS 67218-3713 | 2015-04-22 |
| 1942696497 | Erik Dill | Pathology | 3600 E Harry St, Wichita, KS 67218-3713 | 2015-04-11 |
| 1649616988 | Kathryn M Fulghum | Nurse Practitioner | 3600 E Harry St, Wichita, KS 67218-3713 | 2013-05-14 |
| 1366888570 | Megan M Frieze | Registered Nurse | 3600 E Harry St, Wichita, KS 67218-3713 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205335551 | Elias O Bernard | Radiology | 6505 E Central Ave Ste 208, Wichita, KS 67206-1924 | 2018-02-01 |
| 1760627616 | Gdx, P.a. | Radiology | 6120 Shadybrook St, Wichita, KS 67208-1862 | 2008-12-06 |
| 1609940675 | Wayne Mason | Radiology | 701 N Preston Trl, Wichita, KS 67230-1525 | 2006-11-20 |
| 1629162326 | Great Plains Imaging, LLC | Radiology | 8925 W Maple St, Wichita, KS 67209-1462 | 2006-10-03 |
| 1841209236 | Paul L Rodriguez | Radiology | 4713 N Portwest Cir, Wichita, KS 67204-2356 | 2006-08-05 |
| 1376507590 | Line Diagnostics Inc | Radiology | 630 S Hillside St, Wichita, KS 67211-2157 | 2006-04-14 |
| 1225034614 | Claudia A Lawn | Radiology | 144 S Hillside St, Wichita, KS 67211-2154 | 2005-06-22 |
| 1013913490 | Akash C. Joshi | Radiology | 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 | 2005-06-22 |
| 1790321479 | Anthony Francis Harrison | Radiology | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-11-18 |
| 1255894580 | Jimmy Rong | Radiology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2019-04-12 |
| Find all providers in WICHITA | ||||
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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.