| Christopher Tangen, DO | |
|
1611 S Green Rd Ste 160, South Euclid, OH 44121-6100 | |
| (440) 585-7146 | |
| (440) 585-7041 |
| Full Name | Christopher Tangen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 1611 S Green Rd Ste 160, South Euclid, 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 |
|---|---|---|---|
| 1336344746 | NPI | - | NPPES |
| 2954576 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 35-009402 (Ohio) | Primary |
| 207Q00000X | Family Medicine | 58.001840 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 972 |
| University Hospitals Urgent Care, Llc | 3971985607 | 81 |
| 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 Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124765052 PECOS PAC ID: 3971985607 Enrollment ID: O20220727004332 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Tangen, DO Po Box 8792, Belfast, ME 04915-8792 Ph: (440) 585-7146 | Christopher Tangen, DO 1611 S Green Rd Ste 160, South Euclid, OH 44121-6100 Ph: (440) 585-7146 |
Dr. Ann Marie Witt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2054 South Green Road, South Euclid, OH 44121 Phone: 216-291-9210 Fax: 216-291-9422 | |
Lily Grace Veeravalli, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 S Green Rd Ste 160, South Euclid, OH 44121 Phone: 216-297-2084 | |
Alicia Marie Jones, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 S Green Rd Ste 65, South Euclid, OH 44121 Phone: 216-553-5055 | |
Jeremy Blanchard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 S Green Rd Ste 65, South Euclid, OH 44121 Phone: 440-556-6194 |