Tanner Winger

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

12485839-1206 Issued in UT

Practice address

2310 N 400 E Ste a
Logan, UT 84341-1796

Phone

(435) 787-2000

Fax

(435) 787-1913

NPI assigned

Jun 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Management and ConsultingGroup PAC ID 5496659245, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cache Valley Hospital Hospital, North Logan, UT, CCN 460054
• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
• Franklin County Medical Center Hospital, Preston, ID, CCN 131322

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: twinger@alpineortho.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpine Management and Consulting

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Logan, UT
  • NPI 1427184449

  ID

  Medicare reassignment Care Compare group NPD

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

• Ihc Health Services Inc

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation
• Mountain Division - CVH, LLC

  • General Acute Care Hospital
  • North Logan, UT
  • NPI 1952703472
  Care Compare affiliation
• Franklin County Medical Center

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Care Compare affiliation

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1497370456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30015",
            "address_2": "DEPT 214",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300015",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N 400 E STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411796",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGER",
        "first_name": "TANNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "UT",
            "license": "12485839-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12485839-1206",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myrle Willmore, RPH
• Willow Haven Counseling LLC
• Marybeth Wilson, F.N.P
• Matthew Allen Wilson, M.D.
• Erin L Wimmer
• Tiffany Wink, PT, DPT
• Kevin Clare Winn
• Maureen Patricia Winn, LCSW
• Ryan Edgar Winn, OTR
• Michaela Winterton

• Surgical Physician Assistant in Logan, UT
• Providers in Logan, UT by specialty
• Surgical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.