Mark Tatum, CAA
NPI 1396389755ActiveIndividual· Anesthesiologist Assistant· Canton, OH
Anesthesiologist Assistant (CAA) with University Primary Care Practices Inc, practicing in Canton, Ohio. Medicare paid $13,323 for services to 131 patients in 2024. Lists Uh Cleveland Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1396389755 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | No |
| NPI issued | Oct 29, 2019 |
| Last updated in NPPES | Mar 8, 2021 |
| Certified by provider | Mar 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 131 |
|---|---|
| Services billed | 132 across 39 procedure codes |
| Paid by Medicare | $13,323 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- University Primary Care Practices IncConneaut, OH · 1,079 clinicians
Hospital affiliations
- Uh Cleveland Medical CenterCleveland, OH
- University Hospitals Ahuja Medical CenterBeachwood, OH
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