Individual provider Active NPI

Michael Tanner, P.A.

  • Medical Physician Assistant
  • Naples, FL
National Provider Identifier
1699866343
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101908 Issued in FL
Practice address
801 Vanderbilt Beach Rd
Naples, FL 34108-8708
Phone
(239) 596-9482
Fax
(239) 597-4769
NPI assigned
Sep 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9101908 FL Primary

Addresses

Primary practice location

801 Vanderbilt Beach Rd
Naples, FL 34108-8708

Mailing address

801 Vanderbilt Beach Rd
Naples, FL 34108-8708
Phone (239) 596-9482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000866 FL Practitioner - Physician Assistant 0345285144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard G Abood, M.D., P.a.Group PAC ID 2567403215, 13 clinicians

Practice addresses (Care Compare)

1514 Immokalee Rd
Unit 114
Naples, FL 34110-1454
Phone (239) 593-3232

3601 Tamiami Trail N
Unit 2
Naples, FL 34103-3728
Phone (239) 593-3232

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Centers PA Past Accepting new patients
Epn Urgent Care LLC Past Accepting new patients
Emergency Physicians of Naples PLLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699866343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VANDERBILT BEACH RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088708",
            "telephone_number": "239-596-9482",
            "fax_number": "239-597-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VANDERBILT BEACH RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088708",
            "telephone_number": "239-596-9482",
            "fax_number": "239-597-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MICHAEL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.