DR. MICHAEL D TARANTINO


Address: 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Phone: 3096925337

DR. MICHAEL D TARANTINO (NPI# 1396731063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396731063
Entity Type Individual
Full Name DR. MICHAEL D TARANTINO
Credential MD
Practice Address 9128 N Lindbergh Dr
Peoria
IL 61615-1422
Practice Telephone 3096925337
Practice Fax Number 3096933913
Mailing Telephone 3096925337
Mailing Fax Number 3096933913
Enumeration Date 2005-09-27
Last Update Date 2015-08-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
29978 KY Allopathic & Osteopathic Physicians
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
036-101239 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE P00096725 01
KY KENTUCKY MEDICAID 64299787 01
IL BCBS OF IL 7225372 01

Other Providers MICHAEL TARANTINO

NPI Name Taxonomy Address Enumeration
1659986602 Michael Nicholas Tarantino Speech-Language Pathologist 2399 Ferrand St Ste H, Monroe, LA 71201-3208 2020-09-15
1750382784 Michael Jude Tarantino Surgery 108 Arbor Ln, New Iberia, LA 70563-2822 2005-08-01

Office Location

Street Address 9128 N LINDBERGH DR
City PEORIA
State IL
Zip Code 61615-1422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396396024 Kristin T Ansteatt Registered Nurse 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2019-09-24
1225571219 Jackie Marie Helms Nurse Practitioner 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2016-11-23
1720450026 Elizabeth Ann Lepper Nurse Practitioner 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2015-10-26
1639508567 The Bleeding and Clotting Disorders Institute Pharmacy 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2013-11-01
1639434871 Stephanie Lynn Arnold Pharmacist 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2012-07-12
1962783431 The Bleeding and Clotting Disorders Institute Pharmacy 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2011-08-29
1134424633 The Bleeding and Clotting Disorders Institute Clinic/Center 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2011-01-14
1538469481 Rohith Jesudas Pediatrics 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2010-10-26
1871757070 Jonathan Charles Roberts Pediatrics 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2008-07-16
1366461139 Amanda Kilgore Physical Therapist 9128 N Lindbergh Dr, Peoria, IL 61615 2006-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124627906 Lance Jay Bucher Occupational Therapist 8600 Il-91, Peoria, IL 61615 2020-10-22
1093327496 Angela Mitchell Speech-Language Pathologist 3903 W Ridgeview Dr, Peoria, IL 61615 2020-08-18
1578110680 Emily E Buenting Audiologist 8600 Il Route 91, Suite 300, Peoria, IL 61615 2019-08-22
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1487169207 Heather Hart Registered Nurse 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 2017-12-04
1528586849 Leanne Runyon Speech-Language Pathologist 10723 Collett Dr., Peoria, IL 61615 2017-09-07
1467974196 Elizabeth A Mcleod Nurse Practitioner 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 2017-07-14
1790223022 Janet Warner Counselor 8914 North Prarie Court, Peoria, IL 61615 2017-02-07
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
Find all providers in zip 61615

Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265720510 Reuben Antony Pediatrics 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 2011-07-20
1568433050 University of Illinois Pediatrics St Jude Midwest Affiliate, 530 Ne Glen Oak, Peoria, IL 61637-0001 2006-02-01
1841293032 Pedro A De Alarcon Pediatrics Children's Hospital of Illinois 530 Ne Glen Oak Ave, Peoria, IL 61637 2005-05-23
1205195849 Brinda Mukesh Mehta Pediatrics 530 Ne Glen Oak Ave, Uicomp/dept. of Pediatrics Osf North Bldg. Room 5642, Peoria, IL 61637 2012-05-15
1740430784 Michael D. Tarantino, M.d. S.c. Pediatrics 6811 N Knoxville Ave, Suite A, Peoria, IL 61614-2861 2008-09-26
1558339978 Kay Saving Pediatrics St Jude Midwest Affiliate, 530 Ne Glen Oak, Peoria, IL 61637-0001 2006-03-10
1841287588 Mary Elizabeth Ross Pediatrics 530 Ne Glen Oak Ave, Peoria, IL 61637 2005-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780829911 Richard Moldwin Pediatrics 9017 Ewing Ave, Evanston, IL 60203-1908 2008-12-02
1801005848 Marie-ellen Tubal Sarvida Pediatrics 4440 West 95th Street, Oak Lawn, IL 60453 2007-05-22
1639395304 Lenore Evans Gonzalez Pediatrics 236 S 5th St, Apt C, Springfield, IL 62701-1431 2007-04-18
1700948643 Astrid K. Mack Pediatrics 2300 N Childrens Plz # 30, Chicago, IL 60614-3363 2006-12-15
1659449163 Pediatric Cancer Institute Pediatrics 4440 W.95th Street, Oak Lawn, IL 60453 2006-12-01
1699724385 Joanna Lynn Weinstein Pediatrics 2300 Childrens Plaza Box 30, Childrens Memorial Hospital Hem Onc, Chicago, IL 60614 2006-05-09
1427051622 John M Cunningham Pediatrics 5841 South Maryland Ave, University of Chicago Rm N-112 Mc 4060, Chicago, IL 60637 2005-05-23
1053958173 Anna Kathryn Person Pediatrics 225 E Chicago Ave, Chicago, IL 60611-2991 2019-12-09
1891189221 Lindsay Schwartz Pediatrics 5841 S Maryland Ave # Mc4060, Chicago, IL 60637-1443 2015-03-24
1639599475 Katherine Marie Harris Pediatrics 5841 S Maryland Ave # Mc4060, Chicago, IL 60637-1443 2014-04-20
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Competitor

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City PEORIA
Zip Code 61615

Improve Information

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Dataset Information

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.

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