Healthcare Provider Details

I. General information

NPI: 1215929849
Provider Name (Legal Business Name): H M TANNING MD & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 COAL VALLEY RD SUITE 461
JEFFERSON HILLS PA
15025-3730
US

IV. Provider business mailing address

575 COAL VALLEY RD SUITE 461
JEFFERSON HILLS PA
15025-3730
US

V. Phone/Fax

Practice location:
  • Phone: 412-466-6800
  • Fax: 412-466-8534
Mailing address:
  • Phone: 412-466-6800
  • Fax: 412-466-8534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: HOWARD M TANNING
Title or Position: OWNER OF CORPORATION
Credential: MD
Phone: 412-466-6800