Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLENN L TANZMAN CRNA
NPI 1053369173
Nurse Anesthetist, Certified Registered in Providence, RI

Active since May 04, 2006
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903(401) 444-4933(401) 444-5090 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2026, Jun 17, 2025, Nov 12, 2024 and 2 more (5 updates tracked since 2023).

About Glenn L Tanzman Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN L TANZMAN CRNA (NPI 1053369173) is an individual nurse anesthetist, certified registered in Providence, Rhode Island, licensed in Rhode Island (APRN01174) and active in the NPI registry since May 2006. He is affiliated with Southcoast Hospitals Group and is a graduate of Other (2005).

NPPES Registry Identity

NPI1053369173
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGLENN L TANZMANCredential: CRNA
Location Address593 EDDY STREET, DAVOL 129Providence, RI 02903-4923
Mailing AddressOne Virginia Avenue, Suite 201Providence, RI 02905 · (401) 490-0916 · Fax (401) 490-0979
Fax(401) 444-5090
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 23, 20265 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1053369173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in RI · APRN01174 Licensed in MA · RN246965
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
593 EDDY STREET, Providence, RI 02903

Other Identifiers 2

Other0010803RI · Blue Chip
Other1286RI · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Glenn L Tanzman Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537179593
PECOS Enrollment IDI20060504000645, I20201021001875

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
17 services16 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
16 services16 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Anesthesiology
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Dentist (General Practice)
593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Nurse Practitioner
593 EDDY STREET, APC 4
PROVIDENCE, RI 02903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Tanzman's NPI number?

The NPI number for Glenn Tanzman is 1053369173. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Glenn Tanzman located?

Glenn Tanzman practices at 593 Eddy Street Davol 129, Providence, RI 02903. The listed phone number is (401) 444-4933.

What is Glenn Tanzman's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Glenn Tanzman enrolled in Medicare?

Yes. Glenn Tanzman is registered in the Medicare PECOS enrollment system.

Is Glenn Tanzman affiliated with any hospitals?

According to CMS data, Glenn Tanzman is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Glenn Tanzman was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.