Individual provider Active NPI

Tanner Thomas McClure, DO

  • Orthopaedic Surgery Physician
  • Goodyear, AZ
National Provider Identifier
1821599036
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
011138 Issued in AZ
Practice address
1325 N Litchfield Rd Ste 125
Goodyear, AZ 85395-1215
Phone
(480) 558-3744
Fax
(480) 558-3801
NPI assigned
Feb 22, 2018
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 011138 AZ Primary
Orthopaedic Surgery Physician 207X00000X DO01240 RI

Addresses

Primary practice location

1325 N Litchfield Rd Ste 125
Goodyear, AZ 85395-1215

Mailing address

9701 Bay Hill Dr
Lone Tree, CO 80124-3182

Other practice location 1

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

Other practice location 2

5131 Beacon Hill Rd Ste 160
Columbus, OH 43228-4441
Phone (615) 544-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, AZ2 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
I20230705000655 RI Practitioner - Orthopedic Surgery 2961750500 Reassigns benefits to 1 organization
I20240814004549 AZ Practitioner - Orthopedic Surgery 2961750500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rocky Vista University College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1325 N Litchfield Rd
Suite 125
Goodyear, AZ 85395-1215
Phone (623) 242-1231

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc Orthopaedic Surgery Current Accepting new patients
Orthopedics Rhode Island, Inc Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Aug 1, 2023 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

21250 W Roosevelt St
Ste 306
Buckeye, AZ 85326
Phone (480) 420-0749

6320 W Union Hills Dr
Ste 1800
Glendale, AZ 85308
Phone (480) 420-0749

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1325 N Litchfield Rd
Ste 125
Goodyear, AZ 85395
Phone (480) 420-0749

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1840 S Stapley Dr
Ste 137
Mesa, AZ 85204
Phone (602) 952-0002

2122 E Highland Ave
Ste 100
Phoenix, AZ 85016
Phone (480) 372-2111

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

200 Crossings Blvd
Ste 310
Warwick, RI 02886

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

Interoperability endpoints

  • Direct secure messaging: tanner.mcclure.1@600.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1821599036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 BAY HILL DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 125",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951215",
            "telephone_number": "480-558-3744",
            "fax_number": "480-558-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Crossings Blvd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862878",
            "country_code": "US",
            "telephone_number": "401-777-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5131 Beacon Hill Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432284441",
            "country_code": "US",
            "telephone_number": "615-544-1837",
            "fax_number": "614-544-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "TANNER",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "011138",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "DO01240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.