Active NPI
John M Tanner, M.D.
- Neurology Physician
- Albuquerque, NM
National Provider Identifier
1235240599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD 2009 0170
- Practice address
- 601 Dr Martin Luther King Jr Ave NE
Inpatient Neurology
Albuquerque, NM 87102-3619 - Phone
- (505) 238-3168
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD 2009 0170 | NM | Primary |
Addresses
Primary practice location
601 Dr Martin Luther King Jr Ave NE
Inpatient Neurology
Albuquerque, NM 87102-3619
Mailing address
6100 Pan American East Fwy NE
Suite 100
Albuquerque, NM 87109-3427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6836569 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 2009 0170 | NM | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology& Neurosurgery Associates | Neurology | Past | Accepting new patients |
| Winter Haven Hospital Inc | Past | Accepting new patients | |
| Lovelace Health System, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jtanner11358@ahs.direct-ci.com
Organizations & group practices 3
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 LHS Pro Billing
- Geriatric Psychiatry Physician
- Albuquerque, NM
- NPI 1821240201
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1235240599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 PAN AMERICAN EAST FWY NE",
"address_2": "SUITE 100",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 DR MARTIN LUTHER KING JR AVE NE",
"address_2": "INPATIENT NEUROLOGY",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023619",
"telephone_number": "505-238-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "JOHN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NM",
"license": "MD 2009 0170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6836569",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.