Fred L Tanzer

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35058692 Issued in OH

Legal business name

FRED L TANZER

Practice address

4750 Hempstead Station Dr
Kettering, OH 45429-5164

Phone

(513) 543-3746

Fax

(513) 557-3347

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Fred L Tanzer, MD

Title

Physician

Phone

(513) 543-3746

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick L Tanzer, MD

  • Internal Medicine Physician
  • Hillsboro, OH
  • NPI 1750349023
  NPD
• Patricia A Hoffmann, NP

  • Family Nurse Practitioner
  • Columbus, IN
  • NPI 1528197803
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1033377718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "513-543-3746",
            "fax_number": "513-557-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "513-543-3746",
            "fax_number": "513-557-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED L TANZER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "TANZER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-543-3746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35058692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904721",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110066520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Immaculate Wai Foy, MD
• Lily Franklin
• Emily Jo Franks, MD
• Ruth Frantz
• Virginia L Frazier, DNP, APRN, FNP-C
• Freedom Therapy Clinic LLC
• Amanda Noelle Freeman, M.D., PH.D.
• Timothy Scot Freeman, M.D.
• Robert Jonathon Fresch Jr., D.O.
• James Matthew Freyhof, MD

• Internal Medicine Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.