| Jonathan R Tanner, MD | |
|
400 Wabash Ave, Akron, OH 44307-2433 | |
| (330) 384-6000 | |
| Not Available |
| Full Name | Jonathan R Tanner |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 400 Wabash Ave, Akron, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417972555 | NPI | - | NPPES |
| P00111091 | Other | OH | RAILROAD MEDICARE |
| 2463098 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35-077691 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Akron General Medical Center | Akron, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Lodi Community Hospital | Lodi, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Clinic Medical Services Company, Llc | 5698674653 | 229 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Children's Hospital Medical Center Of Akron |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841328853 PECOS PAC ID: 0648183012 Enrollment ID: O20031111000484 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Clinic Medical Services Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528013984 PECOS PAC ID: 5698674653 Enrollment ID: O20040108000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan R Tanner, MD Po Box 931286, Cleveland, OH 44193-1494 Ph: (888) 719-9012 | Jonathan R Tanner, MD 400 Wabash Ave, Akron, OH 44307-2433 Ph: (330) 384-6000 |
J. Eric Blum, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 525 E Market St, Akron, OH 44304 Phone: 330-375-4028 Fax: 330-375-6295 | |
William Fitzgerald Demas, M.D., F.A.C.R. Radiology Medicare: Accepting Medicare Assignments Practice Location: 525 E Market St, Akron, OH 44304 Phone: 330-375-3557 Fax: 337-376-1302 | |
Dr. Tom Alex Stamatis, Radiology Medicare: Accepting Medicare Assignments Practice Location: 525 E Market St, Akron, OH 44304 Phone: 330-375-3167 Fax: 330-375-6217 | |
Bassey N. Essiet, MD Radiology Medicare: Medicare Enrolled Practice Location: 525 E Market St, Akron Radiology, Inc., Akron, OH 44304 Phone: 330-375-3043 Fax: 330-375-7932 | |
Dr. Anand Bharat Desai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 161 N Forge St, Ste G90, Akron, OH 44304 Phone: 330-375-3557 Fax: 330-376-1302 | |
Mark Alan Richards, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2303 W Market St, Suite 110, Akron, OH 44313 Phone: 330-867-7274 Fax: 330-867-2495 | |
Susan M Hong, MD Radiology Medicare: Medicare Enrolled Practice Location: 161 N Forge St, Suite G90, Akron, OH 44304 Phone: 330-375-4485 |