NPIMap

Organization Active NPI

Barry Tanne, M.D.

Doing business as Granite Falls Medical Clinic

  • Family Medicine Physician
  • Granite Falls, WA
National Provider Identifier
1760804827
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00017729 Issued in WA
Legal business name
BARRY TANNE, M.D.
Doing business as
Granite Falls Medical Clinic
Practice address
403 South Granite Ave
Granite Falls, WA 98252
Phone
(360) 691-7711
Fax
(360) 691-7864
NPI assigned
Jan 9, 2014
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Barry Tanne, M.D.NPI 1265497853
Title
Owner
Phone
(360) 691-7711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00017729 WA Primary

Addresses

Primary practice location

403 South Granite Ave
Granite Falls, WA 98252

Mailing address

P.O. Box 1650
Granite Falls, WA 98252
Phone (360) 691-7711

Other names 1

  • Granite Falls Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1760804827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1650",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "98252",
            "telephone_number": "360-691-7711",
            "fax_number": "360-691-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SOUTH GRANITE AVE",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "98252",
            "telephone_number": "360-691-7711",
            "fax_number": "360-691-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY TANNE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "TANNE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-691-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00017729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Falls Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granite Falls, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.