TANNER C. EIBEN DO – NPI #1710472964
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

TANNER EIBEN is a physician located in QUINCY, IL. NPPES has assigned the NPI number 1710472964 to TANNER EIBEN on June 28, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jul 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TANNER EIBEN below.

NPI Profile for
TANNER C. EIBEN

NPI Number
1710472964
Enumeration Date

(about 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TANNER C. EIBEN
Credentials
DO
Primary location
612 N 11TH ST
QUINCY, IL 62301-2662
Phone: (217) 224-9484 Fax: (217) 224-7950
Mailing address
201 E MADISON ST STE 328
SPRINGFIELD, IL 62702-5131
Phone: (217) 545-8000 Fax: (217) 545-4410
Sole Proprietor
Yes
Updated
Certification Date
Jul 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IL 125.073359
207QS0010X
- Family Medicine / Sports Medicine		 IL 125.073359

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
KANSAS CITY COLLEGE OF MEDICINE AND SURGERY - Graduated 2018
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TANNER EIBEN is affiliated with the following medical group(s):
  • HOSPITAL
    • BLESSING HOSPITAL
      1005 BROADWAY ST
      QUINCY, IL 62301

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.