Christopher D. Tanner, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME65153 Issued in FL

Practice address

151 E Redstone Ave
Crestview, FL 32539-5352

Phone

(850) 650-5161

NPI assigned

May 17, 2006

Last updated

Jun 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northwest Florida Healthcare, Inc

  • Critical Access Hospital
  • Chipley, FL
  • NPI 1336163708
  Medicare reassignment NPD
• Primecare at Twin Lakes LLC

  • Urgent Care Clinic/Center
  • Daytona Beach, FL
  • NPI 1902809122
  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment NPD
• Southland EMS at Weems PL

  • Emergency Medicine Physician
  • Apalachicola, FL
  • NPI 1124302443
  Medicare reassignment NPD
• Southland Hospitalist at Weems PL

  • Emergency Medicine Physician
  • Apalachicola, FL
  • NPI 1801170113
  Medicare reassignment NPD
• Northwest Florida Healthcare, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Chipley, FL
  • NPI 1659438760
  NPD
• Northwest Florida Healthcare, Inc.

  dba Vernon Clinic-NFCH

  • General Practice Physician
  • Vernon, FL
  • NPI 1912287939
  NPD
• 4MD2 Physician Services of Fort Walton Beach LLC

  • Emergency Medicine Physician
  • Fort Walton Beach, FL
  • NPI 1568420735
  NPD (past)
• 4MD2 Physician Services of Niceville LLC

  • Emergency Medicine Physician
  • Niceville, FL
  • NPI 1902857972
  NPD (past)
• Gulf Emergency Specialists PA

  • Emergency Medicine Physician
  • Panama City, FL
  • NPI 1770521759
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1932151792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E REDSTONE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395352",
            "telephone_number": "850-650-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME65153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23573",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374014500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Ann Surgner
• Mindy Gray Sutton, APRN
• Michael Vincent Florendo Tablang, M.D.
• Sujika Tamang
• Nicholas Tambone
• Joel A Tate, D.C.
• Isabel Luisa Tavarez, LMT
• April Taylor, RN
• Brittany Taylor, DPT PT
• Jordan Taylor

• Emergency Medicine Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.