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Active NPI 1396389755 Individual Practitioner Male Practitioner

Mark Tatum , CAA

Anesthesiologist Assistant • Canton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Tatum, CAA is a certified Anesthesiologist Assistant practicing in Canton, OH. With approximately 7 years of clinical experience since completing medical education in 2019, Mark Tatum delivers high-quality medical care to the local community at 1320 MERCY DR NW.

Mark Tatum is affiliated with University Primary Care Practices Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure for total knee joint replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1320 Mercy Dr Nw

Canton, OH 447082641

Telephone 3304891000
Associated Practice Facility / Clinic
🏢 Community Dialysis Units, Llc Facility NPI 1942206230

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Canton, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -0.3 yrs vs City Avg
City Avg: 7.3 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Canton, OH (454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tatum (7 Years) 7 Yrs
Canton Specialty Average (7.3 Years) 7.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
14 14 $782.00 $71.72
00811 Anesthesia for procedure on large bowel using an endoscope
14 14 $722.86 $70.96

Medical Specialties & State Licenses

CMS Verified: 2021-03-08
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

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.

Hospital & Practice Group Affiliations

University Primary Care Practices Inc

158 W Main Rd, Conneaut, OH 440302039

Phone: 4402852960

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Gillis , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023474012

Certified Registered Nurse Anesthetist

Dr. Svitlana Piczer , DO

Student in an Organized Health Care Education/Training Program

NPI 1033053749

Doctor of Osteopathic Medicine (D.O.)

Laurel Devoe , RDN, LD

Dietitian, Registered

NPI 1033074851

Registered Dietitian Nutritionist, Licensed Dietitian

Dr. Aida Safar , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1033192463

Doctor of Medicine (M.D.)

Haylee Bigham , APRN, FNP-C

Nurse Practitioner - Family

NPI 1053253179

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1053348250

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2019

Registered at 1320 MERCY DR NW, CANTON, OH 447082641 (Tel: 3304891000)

📍
Updated Business Mailing Address October 29, 2019

Registered at 354 W MOHAWK DR, MALVERN, OH 446449627 (Tel: 7246011720)

👤
Provider Name / Credentials Updated October 29, 2019

Recorded as MARK TATUM, CAA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2019

Anesthesiologist Assistant

🟢
Initial NPI Registration & Enumeration October 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396389755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2019
Last Update: March 08, 2021
Sole Proprietor: No

Mailing Address

354 W Mohawk Dr

Malvern, OH 446449627

Phone: 7246011720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.