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MARK TATUM CAA
NPI 1396389755
Anesthesiologist Assistant in Canton, OH

Active since October 29, 2019Accepts Medicare Assignment
90.9/100
CMS Quality Rating
1320 MERCY DR NW, CANTON, OH 44708(330) 489-1000 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2021, Oct 29, 2019 (2 updates tracked since 2019).

About Mark Tatum Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK TATUM CAA (NPI 1396389755) is an individual anesthesiologist assistant in Canton, Ohio and active in the NPI registry since October 2019. He is affiliated with Uh Cleveland Medical Center and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396389755
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMARK TATUMCredential: CAA
Location Address1320 MERCY DR NWCanton, OH 44708-2641
Mailing Address354 W Mohawk DrMalvern, OH 44644-9627 · (724) 601-1720
Phone(330) 489-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 29, 2019
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1396389755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1320 MERCY DR NW, Canton, OH 44708
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Tatum Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698108256
PECOS Enrollment IDI20191212001243

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA G GILLIS CRNA
Nurse Anesthetist, Certified Registered
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1000
MEGAN ROSE LYDEN RDN, LD
Dietitian, Registered
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 588-4855
LAUREL DEVOE RDN, LD
Dietitian, Registered
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1000
DR. AIDA SAFAR MD
Pathology (Anatomic Pathology & Clinical Pathology)
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1000
AMY INDORF MD
Internal Medicine (Infectious Disease)
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 580-4706
MRS. JANE ANN ERLITZ
Occupational Therapist
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1490
LOIS R MILOSEVIC CRNA
Nurse Anesthetist, Certified Registered
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1111
DR. CHRISTOPHER MICHAEL HAUGER I D.O.
Internal Medicine (Hospice and Palliative Medicine)
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 430-2788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Tatum's NPI number?

The NPI number for Mark Tatum is 1396389755. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Mark Tatum located?

Mark Tatum practices at 1320 Mercy Dr NW, Canton, OH 44708. The listed phone number is (330) 489-1000.

What is Mark Tatum's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Mark Tatum enrolled in Medicare?

Yes. Mark Tatum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Tatum accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Mark Tatum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Tatum affiliated with any hospitals?

According to CMS data, Mark Tatum is affiliated with Uh Cleveland Medical Center and University Hospitals Ahuja Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Tatum was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.