Tanner James Allen, DO
Individual provider Active NPI Surgery Physician · Gunnison, UT
NPI 1376103606 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1376103606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 14018337-1204 (UT)
- Practice address
- 64 E 100 N
Gunnison, UT 84634 - Phone
- (435) 528-7246
- NPI assigned
- Jun 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Gunnison Valley Hospital
Practice addresses (Care Compare)
65 E 100
Gunnison, UT 84634-7709
Phone (435) 528-2222
Hospital & facility affiliations
- Gunnison Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 59 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 41 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240712002949 | UT | Practitioner - General Surgery | 2961947056 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013904 | MI | MD | Surgery Physician |
| 14018337-1204 | UT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnison Valley Hospital | Current |
Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Past | Accepting new patients |
Locations
46 N Main St
Manti, UT 84642
Phone (435) 835-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5151013904 | MI | |
| Surgery Physician | 208600000X | 14018337-1204 | UT | Yes |
Addresses
Primary practice location
64 E 100 N
Gunnison, UT 84634
Mailing address
64 E 100 S
Gunnison, UT 84634-7709
Phone (435) 528-7246
Other providers in Gunnison, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.