Dustin Tanner (NPI# 1790012201, PAC ID# 6709056120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1790012201 |
| PAC ID by PECOS | 6709056120 |
| Professional Enrollment ID | I20120917000404 |
| Full Name | Dustin Tanner |
| Organization Legal Name | TANNER MARTINEZ CHIROPRACTIC LLC |
| Address |
2200 N Ponce De Leon Blvd Suite 1 Saint Augustine FL 32084-2650 |
| Phone Number | 9048199110 |
| Gender | M |
| Medical School | NEW YORK CHIROPRACTIC COLLEGE |
| Graduation Year | 2010 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1759539711 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2200 N Ponce De Leon Blvd, Suite 1, Saint Augustine, FL 32084-2650 | 9048199110 | TANNER MARTINEZ CHIROPRACTIC LLC |
| 2200 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2650 | 9048199110 | TANNER MARTINEZ CHIROPRACTIC LLC |
| Organization Legal Name | TANNER MARTINEZ CHIROPRACTIC LLC |
| Physicians | 1 |
| Street Address |
2200 N PONCE DE LEON BLVD SUITE 1 |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip | 32084-2650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Martin | Psychologist, Clinical | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2650 | |
| Jill Anette Yoerger-churchwell | Clinical Social Worker | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2650 | |
| Tammy L Tombroff | Clinical Social Worker | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2650 | |
| Janice Felixson | Clinical Social Worker | 2200 N Ponce De Leon Blvd, St Augustine, FL 32084-2650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| James A Berwick | Clinical Social Worker | 505 22nd St, Saint Augustine, FL 32084-1798 | |
| Thomas James Quigg | Chiropractic | 2 /2 May St, Saint Augustine, FL 32084-2126 | |
| Shannon J Coyle | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Gloria M Sierra | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Patricia L Barrozo | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Jacqueline A Seguin | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Kristy L Beams | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Shana Carey | Nurse Practitioner | Minute Clinic LLC | 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603 |
| Laura Hemelt | Physical Therapy | 165 Silver Ln, Ofc, St Augustine, FL 32084-3916 | |
| Find all physicians in zip 32084 | |||
| City | SAINT AUGUSTINE |
| Zip Code | 32084 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SAINT AUGUSTINE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Dustin Tanner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.