Tanna Lee Donalson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0003831 Issued in CO

Practice address

4567 E. 9TH Avenue
Denver, CO 80220-5337

Phone

(303) 320-2455

Fax

(303) 306-7753

NPI assigned

Dec 18, 2008

Last updated

Jul 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Tanna L. Stroup Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Apex Emergency Group, Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1740231356
  NPD (past)
• McBride Clinic Orthopedic Hospital, LLC

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1659413649

  Physician Assistant

  NPD (past)
• Mercy Health Network Inc

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1427097435
  NPD (past)
• Mercy Hospital El Reno, Inc

  • Emergency Medicine Physician
  • El Reno, OK
  • NPI 1083910442
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1265678478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 173862",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173862",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 E. 9TH AVENUE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205337",
            "telephone_number": "303-320-2455",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALSON",
        "first_name": "TANNA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1782",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0003831",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67284507",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANNA",
            "last_name": "STROUP",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xinh Pham Donahue, D.O.
• Donald R Rice,DDS,PC (Family Dentistry)
• Erin Elizabeth Donaldson, D.O.
• Noah Donaldson, DDS
• Sarah Levesque Donaldson, OTR/L
• Kimberly Ella Donars, LPC
• Cadence Donarski, LCSW
• John Donatelli, RN
• Elizabeth Doner, LPC
• Daisy Dong, L. AC. CMD

• Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.