Kathryn E Tanner, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2001006985 Issued in MO

Practice address

1000 Health Center Dr
Mattoon, IL 61938-4644

Phone

(661) 334-0203

NPI assigned

May 17, 2006

Sex

Female

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 TX, NM2 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 2

Specialty

Anesthesiology

Education

University of Texas Medical School at San Antonio, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

Merit-based Incentive Payment System (MIPS)

Final score

74.5 of 100Reported as group

Quality

70

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ktannermd55495@direct.utmb.edu

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.

• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610
  Medicare reassignment Care Compare group NPD
• Resource Anesthesiology Associates of NM Inc

  • Anesthesiology Physician
  • Farmington, NM
  • NPI 1386929644
  Medicare reassignment NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Anesthesiology

  Medicare reassignment NPD
• Marion Hospital Corporation

  • Anesthesiology Physician
  • Marion, IL
  • NPI 1356327282
  NPD (past)
• Harlingen Anesthesia Associates

  • Anesthesiology Physician
  • Harlingen, TX
  • NPI 1114191376
  NPD (past)
• St John'S Regional Medical Center

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1700032653
  NPD (past)
• St Johns Regional Medical Center

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1841240546
  NPD (past)

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

• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1518919265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TEALWOOD CV",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619204407",
            "telephone_number": "956-357-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384644",
            "telephone_number": "661-334-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Estes Ln",
            "address_purpose": "LOCATION",
            "city": "Hartsburg",
            "state": "MO",
            "postal_code": "650391002",
            "country_code": "US",
            "telephone_number": "573-491-0124",
            "fax_number": "573-491-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2001006985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205247208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• August Supan, MSW
• Michelle Switzer
• Leslie A Taggart, APN
• Kyle Justin Tam, BS
• Nehemiah T Tan, M.D.
• Margaret Louisa Tate, DO
• Keisha Renee Taylor, RSA
• Krista Ann Taylor, LCPC
• Stacey Tebbe
• Leah Teichmiller, PA

• Anesthesiology Physician in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.