Active NPI
Gregory C Tanner, M.D.
- Gynecology Physician
- Sandy, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 157109-1205
- Practice address
- 9600 S 1300 E
Ste 305
Sandy, UT 84094-3766 - Phone
- (801) 963-1880
- Fax
- (801) 963-1886
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 157109-1205 | UT | Primary |
Addresses
Primary practice location
9600 S 1300 E
Ste 305
Sandy, UT 84094-3766
Mailing address
41 Northridge Way
Sandy, UT 84092-4906
Phone (801) 963-1880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Utah School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Ave H
Ely, NV 89301
Hospital & facility affiliations
- William Bee Ririe Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157109-1205 | UT | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Bee Ririe Retail Pharmacy | Current | Accepting new patients | |
| Pines Health Services | Current | Accepting new patients | |
| William Bee Ririe Hospital | Current | Accepting new patients | |
| Pines Health Services | Current | Accepting new patients | |
| Layne a Smith, MD PC | Past | Accepting new patients |
Locations
74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001
6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001
Interoperability endpoints
- gregory.tanner.1@20766.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Ely, NV
- NPI 1487648804
-
- Internal Medicine Physician
- Caribou, ME
- NPI 1942277819
-
- Federally Qualified Health Center (FQHC)
- Washburn, ME
- NPI 1922449834
-
- Community/Retail Pharmacy
- Ely, NV
- NPI 1831729268
-
- Obstetrics & Gynecology Physician
- Sandy, UT
- NPI 1538463187
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ely, NV
- NPI 1487648804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598875973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 NORTHRIDGE WAY",
"city": "SANDY",
"state": "UT",
"postal_code": "840924906",
"telephone_number": "801-963-1880",
"fax_number": "801-963-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 S 1300 E",
"address_2": "STE 305",
"city": "SANDY",
"state": "UT",
"postal_code": "840943766",
"telephone_number": "801-963-1880",
"fax_number": "801-963-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "GREGORY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "UT",
"license": "157109-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.