Individual provider Active NPI

Tanner William Boes, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1013351477
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
2025049439 Issued in MO
Practice address
11700 Studt Ave
Saint Louis, MO 63141-7480
Phone
(314) 989-1181
Fax
(314) 989-1441
NPI assigned
Apr 29, 2013
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2025049439 MO
Family Medicine Physician 207Q00000X 35.127937 OH
Family Medicine Physician 207Q00000X 295278 NY
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 295278 NY
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 2025049439 MO Primary

Addresses

Primary practice location

11700 Studt Ave
Saint Louis, MO 63141-7480

Mailing address

11700 Studt Ave
Saint Louis, MO 63141-7480
Phone (314) 989-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181009002617 NY Practitioner - Undersea and Hyperbaric MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 5496981391 Reassigns benefits to 3 organizations
I20210319001588 OH Practitioner - Family Practice 5496981391 Reassigns benefits to 2 organizations
I20260120002307 MO Practitioner - Undersea and Hyperbaric MedicinePractitioner - Family Practice 5496981391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Hyperbaric and Wound Care LLCGroup PAC ID 0345468526, 15 clinicians
Knox Community HospitalGroup PAC ID 1153301833, 117 clinicians

Practice addresses (Care Compare)

11700 Studt Ave
Saint Louis, MO 63141-7031
Phone (314) 989-1181

1330 Coshocton Ave
Mount Vernon, OH 43050-1440

1661 Venture Dr
Mount Vernon, OH 43050-8928
Phone (740) 397-2915

307 Vernedale Dr
Mount Vernon, OH 43050-2921

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2025049439MOMDFamily Medicine Physician
35.127937OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Knox Community Hospital CurrentSince Jul 1, 2025 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Mar 1, 2026 Accepting new patients
Knox Community Hospital Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Upstate Emergency Medicine, Inc CurrentSince Oct 1, 2018 Accepting new patients
Mercy Clinic Hyperbaric and Wound Care LLC CurrentSince Jan 5, 2026 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Sep 11, 2021 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Mar 1, 2021 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Sep 11, 2021 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Mar 1, 2021 Accepting new patients
Samaritan Hospital of Troy, New York Past Accepting new patients
Mount Carmel Healthproviders Inc Family Medicine Past Accepting new patients
Colonial City Internal Medicine, Inc. Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1390 US Highway 61
Ste G
Crystal Cty, MO 63028
Phone (636) 933-1163

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

11700 Studt Ave
Saint Louis, MO 63141
Phone (314) 989-1181

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

1111 W Pearce Blvd
Wentzville, MO 63385
Phone (636) 856-5362

1240 Ulster Ave
Kingston, NY 12401
Phone (845) 443-8720

21 Fox St
Ste 104
Poughkeepsie, NY 12601
Phone (845) 431-2400

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

2 Empire Dr
Ste 100
Rensselaer, NY 12144
Phone (518) 286-4899

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

1530 Route 9
Wappingers Fl, NY 12590
Phone (845) 297-2511

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040

1661 Venture Dr
Ste A
Mount Vernon, OH 43050
Phone (740) 397-2915

Interoperability endpoints

  • Direct secure messaging: tannerboes@kch.allscriptsdirect.net
  • Direct secure messaging: tboes3074436@direct.trinity-health.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1013351477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 STUDT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417480",
            "telephone_number": "314-989-1181",
            "fax_number": "314-989-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 STUDT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417480",
            "telephone_number": "314-989-1181",
            "fax_number": "314-989-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOES",
        "first_name": "TANNER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2025049439",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.127937",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "295278",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NY",
            "license": "295278",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "2025049439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.