Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760607428 Individual Practitioner Male Practitioner

Paul Benjamin Tanner , MBA, CCA

Anaplastologist • Bountiful, UT

Professional Overview & Biography Verified Profile Summary

Paul Tanner, MBA, CCA is a registered healthcare professional specializing in Anaplastologist in Bountiful, UT. Practice services are available at 1455 S 500 W STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1455 S 500 W Ste D

Bountiful, UT 840108252

Telephone 8019970545
Fax 8889775399
Associated Practice Facility / Clinic
🏢 Custom Dme Facility NPI 1255570099

Specialty Benchmarks & Practice Insights

Comparative analytics for Anaplastologist in Bountiful, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bountiful, UT (1 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2024-10-31
Anaplastologist Primary Specialty

NUCC Taxonomy Code: 229N00000X

An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).

Technician/Technologist - Ocularist

NUCC Taxonomy Code: 156FX1700X

An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.

Prosthetist

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Specialist/Technologist, Other - Art, Medical

NUCC Taxonomy Code: 246ZA2600X

None

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 10, 2023

Registered at 1455 S 500 W STE D, BOUNTIFUL, UT 840108252 (Tel: 8019970545)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2023

Technician/Technologist

NPI Profile Active November 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2015

Registered at 3474 S 100 E, BOUNTIFUL, UT 840106605 (Tel: 8019970545)

📍
Updated Business Mailing Address November 24, 2015

Registered at 3474 S 100 E, BOUNTIFUL, UT 840106605 (Tel: 8019970545)

👤
Provider Name / Credentials Updated November 24, 2015

Recorded as PAUL TANNER, MBA, CCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2015

Prosthetist

🟢
Initial NPI Registration & Enumeration April 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Paul Tanner. Be the first to share your experience!

Sign in to leave a review for Paul Tanner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1760607428
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2007
Last Update: October 31, 2024
Sole Proprietor: No

Mailing Address

3474 S 100 E

Bountiful, UT 840106605

Phone: 8019970545

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.