Paul Benjamin Tanner, MBA, CCA
NPI 1760607428ActiveIndividual· Anaplastologist· Bountiful, UT
Anaplastologist (MBA, CCA) in Bountiful, Utah, with an NPI issued in April 2007.
Overview
| NPI | 1760607428 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MBA, CCA |
| Sole proprietor | No |
| NPI issued | Apr 16, 2007 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anaplastologist Primary | 229N00000X | — | — |
| Technician/Technologist, Ocularist | 156FX1700X | — | — |
| Prosthetist | 224P00000X | — | — |
| Specialist/Technologist, Other, Art, Medical | 246ZA2600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Anaplastologist providers in Bountiful
- 1255570099