TANNER N TOLLETT M.D. NPI 1700015286

NPI Information

NPI: 1700015286
Provider Name: TANNER N TOLLETT, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PORTERCARE ADVENTIST HEALTH SYSTEM

PECOS Registration: Yes

Address:
2350 MEADOWS BLVD
CASTLE ROCK, CO
ZIP 80109
Phone: (720) 455-0655
Get Directions

Tanner N Tollett, M.D. is a family medicine in Castle Rock, CO with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Tanner N Tollett, M.D. NPI is 1700015286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2350 MEADOWS BLVD
CASTLE ROCK, CO
ZIP 80109-405
Phone: (720) 455-0655
Fax: (720) 455-0065

The NPI 1700015286 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2009 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208M00000X	Hospitalist	DR.0051753	COLORADO	No
2	390200000X	Student in an Organized Health Care Education/Training Program	3304	COLORADO	No
3	207Q00000X	Family Medicine	51753	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65832221	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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