TANNER CLARK (NPI# 1689060139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689060139 |
| Entity Type | Individual |
| Full Name | TANNER CLARK |
| Credential | M.D. |
| Practice Address |
1959 Ne Pacific St Box 357115 Seattle WA 98195-0002 |
| Mailing Address |
1959 Ne Pacific St Seattle WA 98195-0001 |
| Practice Telephone | 2065986483 |
| Mailing Telephone | 2065986483 |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ML60762104 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679841811 | Tanner Mark Clark | Dentist | 2203 Fitzwater St Unit 1, Philadelphia, PA 19146-1132 | 2011-12-02 |
| 1215465042 | Tanner Clark | Chiropractor | 458 N 500 W, Bountiful, UT 84010-6948 | 2017-05-24 |
| 1427421668 | Tanner Clark | Marriage & Family Therapist | 326 W 11th St, Shawnee, OK 74801-6710 | 2015-11-10 |
| 1790734796 | Tanner Jay Clark | Dentist | 650 W. Cherry St., Suite 5, North Liberty, IA 52317 | 2006-05-08 |
| Street Address |
1959 NE PACIFIC ST BOX 357115 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093859571 | Alexander P Tornow | Radiology | 1959 Ne Pacific St Box 357115, Seattle, WA 98195-7115 | 2007-02-16 |
| 1407207301 | Muhammad Aziz | Internal Medicine | 1959 Ne Pacific St Box 357115, Room Bb308n, Seattle, WA 98195 | 2016-06-22 |
| 1558725648 | Adam Paul Skibinski | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Box 357115, Seattle, WA 98195-2742 | 2016-04-05 |
| 1225490592 | Segen Aklilu | Radiology | 1959 Ne Pacific St Box 357115, Seattle, WA 98195-1018 | 2016-03-24 |
| 1508251323 | Kyle S Spearman | Radiology | 1959 Ne Pacific St Box 357115, Seattle, WA 98195-7115 | 2015-03-30 |
| 1306252002 | Brendan Quiney | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Box 357115, Department of Radiology, Seattle, WA 98195-0001 | 2014-07-02 |
| 1225456445 | Sean Wo | Radiology | 1959 Ne Pacific St Box 357115, Seattle, WA 98195-7115 | 2014-04-03 |
| 1538482617 | Delacy Lamuth | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Box 357115, Seattle, WA 98195-0001 | 2010-03-03 |
| 1407064421 | Mariam Moshiri | Radiology | 1959 Ne Pacific St Box 357115, Seattle, WA 98195-7115 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
| Find all providers in zip 98195 | ||||
| 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 |
|---|---|---|---|---|
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1447711544 | Ashkan Jonathan Ahmadian | Radiology | 1959 Ne Pacific Street Radiology Department Rr 210, Seattle, WA 98195-1019 | 2019-03-29 |
| 1639653017 | Radia Imaging Center Holdings LLC | Radiology | 1229 Madison St Ste 900, Seattle, WA 98104-1391 | 2018-09-20 |
| 1427546597 | Kiet Van Vo | Radiology | 1959 Ne Pacific St # 357115, Seattle, WA 98195-0001 | 2018-04-24 |
| 1861846057 | Ethan Hua | Radiology | Radiology Department Rr 210 1959 Ne Pacific, Seattle, WA 98195-0001 | 2016-04-14 |
| 1437537354 | Mahmood Albahhar | Radiology | 4245 Roosevelt Way Ne Box 354755, University of Washington Medical Center, Seattle, WA 98105 | 2015-05-12 |
| 1336533991 | Keegan Hovis | Radiology | 1959 Ne Pacific Street Radiology Department, Seattle, WA 98195-3358 | 2015-03-22 |
| 1356740930 | Mazen E Zawaideh | Radiology | 588 Bell St Unit 3705, Seattle, WA 98121-1923 | 2014-08-19 |
| 1962821991 | Berthina B. Coleman | Radiology | 747 Broadway, Suite Ww- 739, Swedish Medical Center, General Surgery Residency Progr, Seattle, WA 98122-4307 | 2014-04-07 |
| 1295153120 | Peyvand Pordeli | Radiology | Department of Radiology Body Image Section, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195-7115 | 2014-03-28 |
| Find all providers in SEATTLE | ||||
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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.