| 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 | 6 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 972 |
| 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: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Jonathan S Eberlein, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw Ste 100, Canton, OH 44718 Phone: 330-499-5700 | |
Mason Andrew Merton, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Colleen R Robson, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111 | |
Abbie Lynn Howard, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 | |
Olesya Rabosyuk, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-498-1000 |