Individual provider Active NPI

Gregory C Tanner, M.D.

  • Gynecology Physician
  • Sandy, UT
National Provider Identifier
1598875973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
157109-1205 Issued in UT
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, ME2 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

Enrollment IDStateProvider typePAC IDDetails
I20170927000141 NV Practitioner - Obstetrics/Gynecology 8527068907 Reassigns benefits to 2 organizations
I20230420001088 ME Practitioner - Obstetrics/Gynecology 8527068907 Reassigns benefits to 1 organization

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
William Bee Ririe HospitalGroup PAC ID 9335051747, 40 clinicians

Practice addresses (Care Compare)

1500 Ave H
Ely, NV 89301

Hospital & facility affiliations

  • William Bee Ririe Hospital Hospital, Ely, NV, CCN 291302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157109-1205UTMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Bee Ririe Retail Pharmacy CurrentSince Jul 29, 2017 Accepting new patients
Pines Health Services CurrentSince Dec 16, 2022 Accepting new patients
William Bee Ririe Hospital CurrentSince Jul 29, 2017 Accepting new patients
Pines Health Services CurrentSince Dec 16, 2022 Accepting new patients
Layne a Smith, MD PC PastSince Jun 1, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.