Jerry Ross Tanner (NPI# 1962580480, PAC ID# 8224020045) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1962580480 |
PAC ID by PECOS | 8224020045 |
Professional Enrollment ID | I20081023000349 |
Full Name | Jerry Ross Tanner |
Address |
2841 Debarr Rd Suite 43 Anchorage AK 99508-2967 |
Gender | M |
Credential | DO |
Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
Graduation Year | 1991 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
020001 | PROVIDENCE ALASKA MEDICAL CENTER |
021313 | SOUTH PENINSULA HOSPITAL |
020024 | CENTRAL PENINSULA GENERAL HOSPITAL |
020017 | ALASKA REGIONAL HOSPITAL |
021302 | PROVIDENCE SEWARD HOSPITAL |
Address | Phone | Organization |
---|---|---|
2841 Debarr Rd, Suite 43, Anchorage, AK 99508-2967 | ||
3200 Providence Dr, Anchorage, AK 99508-4615 | 9075622211 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
4300 Bartlett St, Homer, AK 99603-7005 | 9072358101 | SOUTH PENINSULA HOSPITAL INC |
Street Address |
2841 DEBARR RD SUITE 43 |
City | ANCHORAGE |
State | AK |
Zip | 99508-2967 |
Name | Specialty | Organization | Address |
---|---|---|---|
Geronimo Sahagun | Gastroenterology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
Janice A Koval | Endocrinology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
William E Curtis | Cardiac Surgery | 2841 Debarr Rd, Suite 44, Anchorage, AK 99508-2968 | |
Susan J Canafax | Nurse Practitioner | 2841 Debarr Rd, Suite 25, Anchorage, AK 99508-2967 | |
Michael Robert Valantas | Gastroenterology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
Kimberly D Houghton | Gastroenterology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
Jason R Savikko | Diagnostic Radiology | Radiology Services of Alaska Inc. | 2841 Debarr Rd, Suite 12, Anchorage, AK 99508-2968 |
Douglas B Haghighi | Gastroenterology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
Matthew V Cronin | Interventional Radiology | Radiology Services of Alaska Inc. | 2841 Debarr Rd, Suite 12, Anchorage, AK 99508-2968 |
Lawrence P. Wood | Diagnostic Radiology | Radiology Services of Alaska Inc. | 2841 Debarr Rd, Suite 12, Anchorage, AK 99508-2968 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan Mark Vanravenswaay | Family Medicine | 3521 Mountain View Dr, Anchorage, AK 99508-1111 | |
Aaron M Dechant | Chiropractic | Better Health Pain and Wellness Centers, LLC | 729 Northway Dr, Anchorage, AK 99508-2030 |
Doron Ben Avi | Diagnostic Radiology | Alaska Imaging Associates, LLC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
Even R Evanson | Physician Assistant | Alaska Heart Institute | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
Alexis Delgado | Critical Care (intensivists) | Alaska Hospitalist Group LLC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
Suzanne C Grey | Certified Registered Nurse Anesthetist (crna) | Denali Anesthesia, P.C. | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
Anthony K Larson | Family Medicine | South Sound Inpatient Physicians Pllc | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
David James Scordino | Emergency Medicine | Denali Emergency Medicine Assoc PC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
Charles L Wilson | Internal Medicine | South Sound Inpatient Physicians Pllc | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
Joshua J Sahara | Emergency Medicine | Denali Emergency Medicine Assoc PC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
Find all physicians in zip 99508 |
City | ANCHORAGE |
Zip Code | 99508 |
Specialty | INTERNAL MEDICINE |
City + Specialty | ANCHORAGE + INTERNAL MEDICINE |
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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.