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Contact Information

MARK TATUM, CAA
1320 MERCY DR NW
CANTON, OH44708-2641
 Phone: 330-489-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for MARK TATUM · (Male)

NPI # 1396389755
Status Active
Credentials CAA
Entity Individual
Enumeration date 10/29/2019
Last updated 03/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER - (Acute Care)
    3999 RICHMOND ROAD
    BEACHWOOD, OH 44122
  • UNIVERSITY HOSPITALS OF CLEVELAND - (Acute Care)
    11100 EUCLID AVENUE
    CLEVELAND, OH 44106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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