BENJAMIN D TANNER (NPI# 1649240649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649240649 |
| Entity Type | Individual |
| Full Name | BENJAMIN D TANNER |
| Credential | MD |
| Practice Address |
1000 Dupont Rd Louisville KY 40207-4611 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5028896405 |
| Practice Fax Number | 5028996407 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2017-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 33097 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | SIHO - NHWMS | 110964 | 01 |
| KY | PASSPORT - NHWMS | 50027318 | 01 |
| KY | 64100811 | 05 | |
| KY | PASSPORT ADVANTAGE - NHWMS | 3764333000 | 01 |
| KY | ANTHEM - NHWMS | 000000642238 | 01 |
| KY | PASSPORT | 50006995 | 01 |
| IN | 200518160 | 05 | |
| KY | HUMANA - NHWMS | 000052153C | 01 |
| KY | CIGNA - NHWMS | 3945283 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144676172 | Benjamin Tanner | Nurse Practitioner | 50 Ivy St, San Francisco, CA 94102-4506 | 2016-05-09 |
| 1487076402 | Benjamin Tanner | Physician Assistant | 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 | 2014-01-09 |
| 1134325954 | Benjamin Franklin Tanner II | Dentist | 114 Huxford St, Homerville, GA 31634-2357 | 2007-06-27 |
| 1598974586 | Benjamin William Tanner | Chiropractor | 16 S Main St, Manheim, PA 17545-1604 | 2007-05-22 |
| Street Address |
1000 DUPONT RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830098 | Gregory Lee Juhl | Surgery | 1000 Dupont Rd, Suite A, Louisville, KY 40207-4611 | 2005-06-09 |
| 1861053209 | Ashley Hitchcock Williams | Nurse Practitioner | 1000 Dupont Rd, Louisville, KY 40207-4611 | 2019-06-26 |
| 1013411685 | Jennifer Amanda Sustek | Nurse Practitioner | 1000 Dupont Rd, Louisville, KY 40207-4611 | 2018-03-20 |
| 1508905431 | Meredith Claire Sweeney | Surgery | 1000 Dupont Rd, Louisville, KY 40207-4611 | 2007-02-06 |
| 1275562167 | Amy M. Cissell | Nurse Practitioner | 1000 Dupont Rd, Louisville, KY 40207-4611 | 2006-07-02 |
| 1023088911 | Jorge Luis Rodriguez | Surgery | 1000 Dupont Rd, Suite A, Louisville, KY 40207-4611 | 2006-01-24 |
| 1053309500 | Natalie Graham Stephens | Surgery | 1000 Dupont Rd, Suite A, Louisville, KY 40207-4611 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1639535677 | David Geller, Md, Pllc | Surgery | 3999 Dutchmans Ln Ste 1e, Louisville, KY 40207-4741 | 2016-01-06 |
| 1689008567 | William Jewell Oliver | Surgery | 4208 Rivers Edge Ct, Louisville, KY 40222-6176 | 2013-08-27 |
| 1053686196 | Conor O'neill | Surgery | 315 E Broadway Ste 312m-10, Louisville, KY 40202-3700 | 2012-03-21 |
| 1669747853 | Kevin M Riggle | Surgery | 411 E Chestnut St Ste 5, Louisville, KY 40202-1713 | 2012-03-20 |
| 1952676512 | Thomas Curry Dedman | Surgery | 204 Travois Rd, Louisville, KY 40207-1663 | 2012-03-15 |
| 1194017384 | Chandler Donovan Wilfong | Surgery | 12100 Redspire Dr, Apt 204, Louisville, KY 40299-6143 | 2011-05-06 |
| 1114218963 | John Isaac Young | Surgery | 601 S Floyd St Ste 220, Louisville, KY 40202-1835 | 2011-04-28 |
| 1528384195 | Jared Michael Davis | Surgery | 1019 Rosemary Dr, Louisville, KY 40213-1119 | 2010-04-08 |
| 1215164025 | Stewart Reddin Carter | Surgery | 411 E Chestnut St Fl 5, Louisville, KY 40202-1713 | 2009-06-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on BENJAMIN D TANNER.
| 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.