William John Tanner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101249038 Issued in VA

Practice address

415 S Pollard St
Vinton, VA 24179-2502

Phone

(540) 983-6700

Fax

(540) 982-6928

NPI assigned

Jan 23, 2006

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1750361952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S POLLARD ST",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792502",
            "telephone_number": "540-983-6700",
            "fax_number": "540-982-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S POLLARD ST",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792502",
            "telephone_number": "540-983-6700",
            "fax_number": "540-982-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101249038",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wtanner70254@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wtanner70254@direct.carilionclinic.org",
            "address_1": "415 S Pollard St",
            "city": "Vinton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241792502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Stevers, MSW
• Susan P Striebeck, DC/PTA
• Support Systems, LLC
• Travain Williams Sutphin, PHARM.D.
• Sarah Swengel, PA-C
• Jefferson Kirkland Teass, DC
• Stephen C Thomas, LPC
• Saira Thompson, MD
• Jamie Ellen Timney, PHARMD
• Peter Joseph Turck

• Family Medicine Physician in Vinton, VA
• Providers in Vinton, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.