Active NPI
Tanner William Boes, MD
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 2025049439
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Undersea and Hyperbaric Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 85 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025049439 | MO | MD | Family Medicine Physician |
| 35.127937 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Family Medicine | Current | Accepting new patients |
| Knox Community Hospital | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Knox Community Hospital | Family Medicine | Current | Accepting new patients |
| Upstate Emergency Medicine, Inc | Current | Accepting new patients | |
| Mercy Clinic Hyperbaric and Wound Care LLC | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Dedicated Columbus Ohio, LLC | Current | Accepting new patients | |
| Health Quest Medical Practice, PC | Current | Accepting new patients | |
| Dedicated Columbus Ohio, LLC | Current | 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
- tannerboes@kch.allscriptsdirect.net
- 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.
-
- Surgery Physician
- Festus, MO
- NPI 1336568864
-
- Family Medicine Physician
- Mount Vernon, OH
- NPI 1154483022
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Family Medicine
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1275589582
-
dba Dedicated Senior Medical Center Morse Road
- Non-Pharmacy Dispensing Site
- Columbus, OH
- NPI 1932660438
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
-
dba KCH Northside Pharmacy
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1073351557
-
- Internal Medicine Physician
- Mount Vernon, OH
- NPI 1396769980
-
dba Mount Carmel Medical Group
- Family Medicine Physician
- Columbus, OH
- NPI 1356384143
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1215936588
-
dba Amedisys Home Health of Missouri
- Home Health Agency
- Hillsboro, MO
- NPI 1164433041
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
- General Acute Care Hospital
- Mount Vernon, OH
- NPI 1295761963
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.