Jason R Tatka, DO | |
272 Hospital Rd, Chillicothe, OH 45601-9031 | |
(740) 779-7500 | |
Not Available |
Full Name | Jason R Tatka |
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Gender | Male |
Speciality | Pediatrics |
Location | 272 Hospital Rd, Chillicothe, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285648477 | NPI | - | NPPES |
200476730 | Medicaid | IN | |
2821398 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 34-012050 (Ohio) | Secondary |
208000000X | Pediatrics | 34-012050 (Ohio) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
---|---|
Jason R Tatka, DO 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 | Jason R Tatka, DO 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-7500 |
Dr. Barbara D. Ianni, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7806 State Route 159, Chillicothe, OH 45601 Phone: 602-791-0179 | |
Alessandro L. Maranzana, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4439 State Route 159, Suite G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4391 | |
Lois B Jetty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4439 State Route 159, Ste G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4390 | |
Scott J Mccallum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4439 State Route 159, Ste G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4390 | |
Dr. Kantima C Jane-wit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4439 State Route 159, Suite G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4391 | |
Heather M Sever, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1264 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-6805 Fax: 740-779-9116 | |
Amy K Luckeydoo, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1264 Hospital Road, Chillicothe, OH 45601 Phone: 740-779-6805 Fax: 740-779-9116 |