DAVID E TANNER D.O. NPI 1629032776

NPI Information

  • NPI: 1629032776
  • Provider Name: DAVID E TANNER, D.O.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 82 RED HILL RD
    NEWPORT, PA
    ZIP 17074
  • Phone: (717) 567-7884

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NPI Details

David E Tanner, D.O. is a general practice in Newport, PA with 47 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee David E Tanner, D.O. NPI is 1629032776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1979

The provider's business location address is:

82 RED HILL RD
NEWPORT, PA
ZIP 17074-708
Phone: (717) 567-7884

The NPI 1629032776 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 4/14/2006 and was last updated on 6/28/2010.

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 Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeOSOO4411LPENNSYLVANIAYes

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
101014602OTHERPENNSYLVANIACAPITAL BLUE CROSS
2TA148070MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
3080031059OTHERPALAUPALMETTA GBA
4TA148070OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
5D98718MEDICARE UPINPENNSYLVANIA
60005986020003MEDICAIDPENNSYLVANIA

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: 11/21/2025

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