JOHN BENJAMIN DAVID TATUM (NPI# 1174081095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174081095 |
Entity Type | Individual |
Full Name | JOHN BENJAMIN DAVID TATUM |
Credential | DD PHD |
Practice Address |
99 Dawson Avenue Back Door @ Top of W/c Ramp Mansfield OH 44906-3201 |
Practice Telephone | 4195248337 |
Mailing Telephone | 4195248337 |
Enumeration Date | 2019-03-10 |
Last Update Date | 2019-03-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
N | 146D00000X | Personal Emergency Response Attendant | Emergency Medical Service Providers | ||
N | 177F00000X | Lodging | Other Service Providers | ||
N | 251E00000X | Home Health | Agencies | ||
N | 347C00000X | Private Vehicle | Transportation Services | ||
N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
N | 253Z00000X | In Home Supportive Care | Agencies | ||
N | 174200000X | Meals | Other Service Providers | ||
N | 374K00000X | Religious Nonmedical Practitioner | Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639194145 | John M. Tatum | Psychiatry & Neurology | 2180 N Park Ave, Suite 326, Winter Park, FL 32789-2359 | 2006-07-13 |
Street Address |
99 DAWSON AVENUE BACK DOOR @ TOP OF W/C RAMP |
City | MANSFIELD |
State | OH |
Zip Code | 44906-3201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
Find all providers in zip 44906 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376143180 | Phillip Mendoza Jr | Counselor | 195 Edward Ave, Akron, OH 44310-1957 | 2020-10-30 |
1174121214 | Andrew Clark Oswalt | Counselor | 45 Oakland Park Ave, Columbus, OH 43214-4119 | 2020-10-12 |
1477167674 | Jessica A Buttari | Counselor | 9980 Knollwood Ridge Dr, Mentor, OH 44060-6517 | 2020-09-04 |
1376151324 | Lurenna Obey | Counselor | 3499 Hiawatha St, Columbus, OH 43224-3349 | 2020-07-15 |
1285260729 | Beverly Crump | Counselor | 4889 Sinclair Rd Ste 215, Columbus, OH 43229-5434 | 2020-03-17 |
1225685506 | David Adams | Counselor | 3704 Walton Ave, Cleveland, OH 44113-4917 | 2019-08-21 |
1295225894 | Rhonda Beal | Counselor | 840 Suire Ave, Cincinnati, OH 45205-1639 | 2018-05-18 |
1972017697 | Melvin Dennis Trent Sr. | Counselor | 2007 S Schenley Ave, Youngstown, OH 44511-1262 | 2017-11-17 |
1083126593 | Dean Christopher Kavouras | Counselor | 5948 W 24th St, Cleveland, OH 44134-3003 | 2017-10-25 |
1033657226 | Thomas Kamau | Counselor | 3330 E Livingston Ave, Columbus, OH 43227-1946 | 2017-02-07 |
Find all providers with the same taxonomy |
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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.