MR. ERIC TATUM JR. (NPI# 1144839705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144839705 |
Entity Type | Individual |
Full Name | MR. ERIC TATUM JR. |
Credential | AGACNP-BC |
Practice Address |
901 Saint Marys Dr Ste 300 Evansville IN 47714-0521 |
Mailing Address |
5859 Pemberly Ct Newburgh IN 47630-4504 |
Practice Telephone | 8124732642 |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
PENDING | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
901 SAINT MARYS DR STE 300 |
City | EVANSVILLE |
State | IN |
Zip Code | 47714-0521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427055268 | Phillip Henry Behrens | Internal Medicine | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2005-07-07 |
1609429760 | Kara J Falls | Nurse Practitioner | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2019-07-18 |
1629621776 | Katelyn M Behrman | Nurse Practitioner | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2019-07-18 |
1659932309 | Shivani Walkosak | Nurse Practitioner | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2019-06-24 |
1861918559 | Sarah Kay Pinkston | Nurse Practitioner | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2017-08-15 |
1649793522 | Kyle William Kraft | Physician Assistant | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2017-07-21 |
1942677950 | Gregory A Fleck | Nurse Practitioner | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2015-08-25 |
1184914699 | Douglas William Sheffer | Internal Medicine | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2011-04-18 |
1386872307 | Michael Jon Thomas | Surgery | 901 Saint Marys Dr Ste 300, Evansville, IN 47714 | 2009-06-29 |
1780826784 | Anthony John Voelkel | Internal Medicine | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2009-04-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
Find all providers in zip 47714 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366918104 | Irina Kochersperger | Nurse Practitioner | 4972 Lincoln Ave Ste 101, Evansville, IN 47715-7909 | 2018-10-19 |
1376751891 | Digestive Care of Evansville PC | Nurse Practitioner | 801 St. Mary's Dr., Suite 205 W, Evansville, IN 47714-0518 | 2007-05-18 |
1811464241 | Kirstyn Elizabeth Sutton | Nurse Practitioner | 3700 Washington Ave, Evansville, IN 47714-0541 | 2018-10-24 |
1578076337 | Traci I Emerson | Nurse Practitioner | 3700 Washington Ave, Evansville, IN 47714-0541 | 2017-11-14 |
1861918559 | Sarah Kay Pinkston | Nurse Practitioner | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2017-08-15 |
1528583069 | Shauwney Le-erin Kittinger | Nurse Practitioner | 3700 Washington Ave, Evansville, IN 47714 | 2017-08-06 |
1538610712 | Tina Marie Schulte | Nurse Practitioner | 3700 Washington Ave, Evansville, IN 47714-0541 | 2016-10-21 |
1316492416 | Dana M Spivey | Nurse Practitioner | 519 Harriet St, Evansville, IN 47710-1715 | 2016-08-18 |
1609234319 | Ashley Hammer | Nurse Practitioner | 901 Saint Marys Dr, Ste 300, Evansville, IN 47714-0520 | 2016-02-09 |
1811368525 | Danielle Williams | Nurse Practitioner | 3700 Washington Ave, Evansville, IN 47714-0541 | 2015-10-08 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47714 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.