Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386688307 Individual Practitioner Male Practitioner

Douglas Evan Tanner , PHYSICIAN ASSISTANT

Physician Assistant • Springville, NY

Professional Overview & Biography Verified Profile Summary

Douglas Tanner, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Springville, NY. Practice services are available at 210 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 E Main St

Springville, NY 141411442

Telephone 7165923635
Associated Practice Facility / Clinic
🏢 Concord Medical Group Pc Facility NPI 1871510636

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springville, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Springville, NY (15701 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 005527-1

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01666426 (NY)
Commercial Insurance / Payer ID Independent Health
9514284AOA (NY)
Commercial Insurance / Payer ID Ghi
0003153 (NY)
Commercial Insurance / Payer ID Univera
00026501103 (NY)
Commercial Insurance / Payer ID Bcbs
000570091007 (NY)
Commercial Insurance / Payer ID Rrmedicare
P00459731 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Andrew Berger , MD

General Practice

NPI 1255313755

Doctor of Medicine (M.D.)

Dr. William Wnuk , MD

Internal Medicine

NPI 1528069085

Doctor of Medicine (M.D.)

NPI 1821070970

MDPHD

NPI 1841273166

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2008

Registered at 210 E MAIN ST, SPRINGVILLE, NY 141411442 (Tel: 7165923635)

📍
Updated Business Mailing Address April 14, 2008

Registered at 210 E MAIN ST, SPRINGVILLE, NY 141411442 (Tel: 7165923635)

👤
Provider Name / Credentials Updated April 14, 2008

Recorded as DOUGLAS TANNER, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2008

Physician Assistant (License #005527-1 in NY)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386688307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: April 14, 2008
Sole Proprietor: No

Mailing Address

210 E Main St

Springville, NY 141411442

Phone: 7165923635

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.