Active NPI
John Barlow Tanner, MD
- Emergency Medicine Physician
- Yakima, WA
National Provider Identifier
1043475999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 57.014589
- Practice address
- 2811 Tieton Dr
Yakima, WA 98902-3761 - Phone
- (509) 575-8100
- NPI assigned
- Jul 21, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 57.014589 | OH | Primary |
| Emergency Medicine Physician | 207P00000X | 246384 | MA | |
| Emergency Medicine Physician | 207P00000X | MD60341462 | WA |
Addresses
Primary practice location
2811 Tieton Dr
Yakima, WA 98902-3761
Mailing address
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.26 of 100
- Quality
- 95.59
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 78.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.014589 | OH | MD | Emergency Medicine Physician |
| MD60341462 | WA | MD | Emergency Medicine Physician |
Practice roles
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
3011 196th St SW
Lynnwood, WA 98036
Phone (425) 688-5759
9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Snoqualmie Valley Hospital
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-
dba Snoqualmie Valley Health Clinic
- Rural Health Clinic/Center
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- NPI 1558869289
-
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- NPI 1285796870
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- Clinic/Center
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- Clinic/Center
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- Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1043475999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 TIETON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023761",
"telephone_number": "509-575-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 TIETON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023761",
"telephone_number": "509-575-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "JOHN",
"middle_name": "BARLOW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "57.014589",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "246384",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60341462",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.