Individual provider Active NPI

Nathan Vern Tanner, MD

  • Emergency Medicine Physician
  • Rio Grande City, TX
National Provider Identifier
1467081323
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T8662 Issued in TX
Practice address
128 N FM 3167
Rio Grande City, TX 78582-6211
Phone
(956) 487-9025
Fax
(956) 487-4680
NPI assigned
Apr 3, 2020
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T8662 TX Primary
Family Medicine Physician 207Q00000X T8662 TX

Addresses

Primary practice location

128 N FM 3167
Rio Grande City, TX 78582-6211

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 487-9025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT, AZ, OK4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230203001562 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0345612156 Reassigns benefits to 4 organizations
I20230808002836 UT Practitioner - Family Practice 0345612156 Reassigns benefits to 1 organization
I20240626003825 AZ Practitioner - Emergency MedicinePractitioner - Family Practice 0345612156 Reassigns benefits to 1 organization
I20240730003957 OK Practitioner - Emergency MedicinePractitioner - Family Practice 0345612156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1612 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 984-2492

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000

430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Utah -TCG LLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jul 15, 2024 Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Locations

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1612 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 983-2492

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1467081323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-487-9025",
            "fax_number": "956-487-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N FM 3167",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826211",
            "telephone_number": "956-487-9025",
            "fax_number": "956-487-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "NATHAN",
        "middle_name": "VERN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-06-06",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T8662",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T8662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.