National Provider Identifier
Edward C Tanner MD PC
Edward C Tanner MD PC is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Rochester, NY and a listed phone number of (585) 266-2583.
Profile Overview
- NPI
- 1386797017
- Provider Type
- Organization
- Primary Specialty
- Orthopaedic Surgery Physician
- Enumeration Date
- January 18, 2007
- Last Updated
- January 17, 2008
Practice Location
- 1445 Portland Ave
- Rochester, NY 14621
Phone: (585) 266-2583
Specialties
- Orthopaedic Surgery Physician (207X00000X)
Full Record
- NPI
- 1386797017
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Edward C Tanner MD PC
- Mailing Street Address
- 1445 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621
- Mailing Country
- US
- Mailing Phone
- (585) 266-2583
- Mailing Fax
- (585) 266-5363
- Practice Street Address
- 1445 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 266-2583
- Practice Fax
- (585) 266-5363
- Enumeration Date
- January 18, 2007
- Last Updated
- January 17, 2008
- Authorized Official Last Name
- Tanner
- Authorized Official First Name
- Edward
- Authorized Official Middle Name
- C
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 266-2583
- Organization Subpart
- No
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopaedic Surgery Physician (207X00000X)
- Other Identifiers
- 102336CU (Preferred Care), 00593559 (NY)