Active NPI
Adam S Tanzer, MD
- Emergency Medicine Physician
- Laconia, NH
National Provider Identifier
1417998030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10733
- Practice address
- 80 Highland St
Laconia, NH 03246-3235 - Phone
- (603) 524-3211
- NPI assigned
- Jun 8, 2006
- Last updated
- May 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10733 | NH | Primary |
| Emergency Medicine Physician | 207P00000X | 212721 | MA |
Addresses
Primary practice location
80 Highland St
Laconia, NH 03246-3235
Mailing address
80 Highland St
Laconia, NH 03246-3235
Phone (603) 524-3211
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30201835 | Medicaid | NH | |
| 0107189Y0NH01 | Other | NH | ANTHEM |
| J27036 | Other | MA | BLUE SHIELD |
| 2029944 | Medicaid | MA | |
| 9073218 | Other | NH | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 42.33 of 100
- Quality
- 22.6
- Improvement activities
- 20
- Cost
- 74.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10733 | NH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melrose Wakefield Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Merrimack Emergency Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Care Clinic/Center
- Manchester, NH
- NPI 1881635837
-
- Emergency Medicine Physician
- Melrose, MA
- NPI 1790730539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1417998030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HIGHLAND ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463235",
"telephone_number": "603-524-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HIGHLAND ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463235",
"telephone_number": "603-524-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANZER",
"first_name": "ADAM",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "10733",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "212721",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30201835",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0107189Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J27036",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029944",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9073218",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.