JOHN CLINTON TANNER III (NPI# 1780882662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780882662 |
| Entity Type | Individual |
| Full Name | JOHN CLINTON TANNER III |
| Credential | M.D. |
| Practice Address |
3366 Oakdale Ave N Suite 103 Robbinsdale MN 55422-2948 |
| Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
| Practice Telephone | 7635207870 |
| Practice Fax Number | 7635207580 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125651 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
109070 | MN | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
4301090393 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669504049 | John Everett Tanner | Dentist | 2701 Bloomingdale Rd, Kingsport, TN 37660-1854 | 2007-03-11 |
| 1952337990 | John Calvin Tanner | Family Medicine | 340 16th Ave N Ste A, Jacksonville Beach, FL 32250-4819 | 2006-06-23 |
| 1255337911 | John R Tanner | Optometrist | 18431 N 91st Ave, Suite 1, Peoria, AZ 85382-0817 | 2005-06-27 |
| 1811273519 | John Tanner | Massage Therapist | 16 N Fort Harrison Ave, Clearwater, FL 33755-4015 | 2011-10-25 |
| 1043475999 | John Barlow Tanner | Emergency Medicine | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2008-07-21 |
| 1699983411 | John P Tanner | Family Medicine | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 | 2007-05-18 |
| 1538384268 | John Greer Tanner | Chiropractor | 3750 Arlington Ave, Riverside, CA 92506-2607 | 2007-04-16 |
| 1235240599 | John M Tanner | Psychiatry & Neurology | 601 Dr Martin Luther King Jr Ave Ne, Inpatient Neurology, Albuquerque, NM 87102-3619 | 2006-08-31 |
| 1588674642 | John P Tanner | Dentist | 4700 Belleview, Ste L 10, Kansas City, MO 64112-1360 | 2006-08-09 |
| 1376522045 | John E Tanner | Nurse Anesthetist, Certified Registered | 1215 21st Ave S, Nashville, TN 37232-0014 | 2006-01-11 |
| Street Address |
3366 OAKDALE AVE N SUITE 103 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746513 | Jennifer A Flaherty | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2005-11-08 |
| 1164954020 | Brianna Kay Randall | Physician Assistant | 3366 Oakdale Ave N, Ste 104, Robbinsdale, MN 55422-2948 | 2017-03-30 |
| 1699228999 | Matthew Idle | Dentist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2016-08-03 |
| 1598135287 | Kelly Lynn Vanderheyden | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-07 |
| 1134599038 | Kari Ann Gabrielse | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-05 |
| 1346621919 | Anna E Marjan | Surgery | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2015-06-09 |
| 1982008413 | Amanda Lynn Solyntjes | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1417351941 | Rachael Jensen | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1801205984 | Travis Wayne Urbatch | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2014-08-04 |
| 1609217769 | Rita Ann Anderson | Nurse Practitioner | 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422-2948 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629242979 | Jessica M Downes | Orthopaedic Surgery | 701 Park Ave B, Henepin County Medical Center, Minneapolis, MN 55415 | 2008-04-17 |
| 1609872159 | Lance Michael Silverman | Orthopaedic Surgery | 6600 France Ave S, Ste 605, Edina, MN 55435-1807 | 2005-06-21 |
| 1942498225 | Tracy D Rupke | Orthopaedic Surgery | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2007-10-11 |
| 1730390238 | Jeffrey Daniel Seybold | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2007-05-25 |
| 1891729000 | Johannes Christiaan Coetzee | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-07-11 |
| 1154390417 | Dennis John Callahan | Orthopaedic Surgery | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-03-17 |
| 1912984915 | Ross Paskoff | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2005-12-30 |
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on JOHN CLINTON TANNER III.
| 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.