Mark Tatum, CAA | |
1320 Mercy Dr Nw, Canton, OH 44708-2641 | |
(330) 489-1000 | |
Not Available |
Full Name | Mark Tatum |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 5 Years |
Location | 1320 Mercy Dr Nw, Canton, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396389755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
University Hospitals Of Cleveland | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Primary Care Practices Inc | 3072417534 | 930 |
Entity Name | University Primary Care Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Mark Tatum, CAA 354 W Mohawk Dr, Malvern, OH 44644-9627 Ph: (724) 601-1720 | Mark Tatum, CAA 1320 Mercy Dr Nw, Canton, OH 44708-2641 Ph: (330) 489-1000 |
Jenna Staikoff, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Jonathan S Eberlein, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 4665 Douglas Cir Nw Ste 100, Canton, OH 44718 Phone: 330-499-5700 | |
Colleen R Robson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111 | |
Olesya Rabosyuk, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-498-1000 | |
Benjamin W. Falkenberg, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718 Phone: 330-656-3100 | |
Mrs. Leeann Jensen, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 |