DR. JOHN CALVIN TANNER (NPI# 1952337990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952337990 |
| Entity Type | Individual |
| Full Name | DR. JOHN CALVIN TANNER |
| Credential | DO |
| Practice Address |
340 16th Ave N Ste A Jacksonville Beach FL 32250-4819 |
| Mailing Address |
Po Box 51595 Jacksonville Beach FL 32240-1595 |
| Practice Telephone | 9042412653 |
| Practice Fax Number | 9047580559 |
| Mailing Telephone | 9046146697 |
| Mailing Fax Number | 9047580559 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS0004709 | FL | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OS0004709 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
OS4709 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 82622 | 01 |
| FL | 010659200 | 05 | |
| FL | 068895900 | 05 | |
| FL | MEDICARE RAILROAD | 080025596 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669504049 | John Everett Tanner | Dentist | 2701 Bloomingdale Rd, Kingsport, TN 37660-1854 | 2007-03-11 |
| 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 |
| 1780882662 | John Clinton Tanner IIi | Orthopaedic Surgery | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2007-07-03 |
| 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 |
340 16TH AVE N STE A |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1720612013 | New Perspective Mental Health LLC | Psychiatry & Neurology | 6141 Sw 72nd St Ste 402, South Miami, FL 33143-5026 | 2020-02-26 |
| 1972165231 | Blossoming Wellbeing Corp. | Psychiatry & Neurology | 6622 32nd Way S, St Petersburg, FL 33712-5408 | 2019-07-07 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1679057814 | United Health and Wellness Group, Inc. | Psychiatry & Neurology | 201 N Federal Hwy Ste 105, Deerfield Beach, FL 33441-3621 | 2018-09-24 |
| 1467934224 | Arh Medical Group LLC | Psychiatry & Neurology | 631 Us Highway 1 Ste 409, North Palm Beach, FL 33408-4621 | 2018-08-29 |
| 1255879060 | Round Care, Inc | Psychiatry & Neurology | 300 W Sunrise Blvd Ste 3, Ft Lauderdale, FL 33311-6200 | 2017-02-01 |
| 1154766541 | Paul Roberts | Psychiatry & Neurology | 8529 Southpark Cir, Suite 270, Orlando, FL 32819-9029 | 2013-04-30 |
| 1386910172 | Siddharth Singh Arora | Psychiatry & Neurology | 1811 S Orlando Ave Ste A, Cocoa Beach, FL 32931-2340 | 2012-03-27 |
| 1194010694 | Laurie Ann Solomon | Psychiatry & Neurology | 100 Newell Dr # L4100, Gainesville, FL 32611-1912 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on DR. JOHN CALVIN 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.