Dr. Derrick Tartt , MD
Specialist • Lansing, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Derrick Tartt has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Derrick Tartt, MD was a registered Specialist practicing in Lansing, IL. Throughout an active medical career spanning 15 years, Dr. Tartt provided care at the practice location at 18221 TORRENCE AVE until profile deactivation on 2021-06-09.
Practice Location & Contact Primary Location
18221 Torrence Ave
Suite 1b
Lansing, IL 604382870
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Lansing, IL
Practicing in Lansing, IL (1322 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Anesthesiology
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Specialist
Certified Registered Nurse Anesthetist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 09, 2021
NPI status registered as active in NPPES database
Registered at 1714 NW 192ND ST, SUITE 1B, MIAMI GARDENS, FL 330562860 (Tel: 7734256036)
Registered at 1714 NW 192ND ST, MIAMI GARDENS, FL 330562860 (Tel: 7734256036)
Recorded as DERRICK TARTT, MD
Anesthesiology (License #ME90918 in FL)
NPI status registered as active in NPPES database
Registered at 18221 TORRENCE AVE, SUITE 1B, LANSING, IL 604382870 (Tel: 7088959450)
Registered at 1848 N SAYRE AVE, CHICAGO, IL 607073836 (Tel: 7734256036)
Recorded as DERRICK TARTT, MD
Specialist (License #36083803 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1848 N Sayre Ave
Chicago, IL 607073836
Phone: 7734256036
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