Edward C Tanner MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

14075 1 Issued in NY

Legal business name

EDWARD C TANNER MD PC

Practice address

1445 Portland Ave
Rochester, NY 14621

Phone

(585) 266-2583

Fax

(585) 266-5363

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Edward C Tanner, MD

Title

Owner

Phone

(585) 266-2583

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1386797017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-266-2583",
            "fax_number": "585-266-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-266-2583",
            "fax_number": "585-266-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C TANNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-266-2583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "14075 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102336CU",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00593559",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edith Grannum MD PC
• Angel Edmondson
• Leanna See-Yoon Eduardo, P.A.
• Kameela Edun
• Edward C Burel DDS PC
• Edward D Lewis MD
• Edward F Shaw
• Felice Edwards, LMHC
• Gloria Edwards
• Jamie Lyn Edwards, MA, CCC-SLP

• Orthopaedic Surgery Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.