NPIMap

Individual provider Active NPI

James K Tatum, M.D.

  • Family Medicine Physician
  • Aliquippa, PA
National Provider Identifier
1083647564
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD035492E Issued in PA
Practice address
2299 Brodhead Rd
Aliquippa, PA 15001-4674
Phone
(724) 378-8484
Fax
(724) 773-8966
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD035492E PA Primary

Addresses

Primary practice location

2299 Brodhead Rd
Aliquippa, PA 15001-4674

Mailing address

2299 Brodhead Rd
Aliquippa, PA 15001-4674
Phone (724) 378-8484

Other identifiers 1

IdentifierTypeStateIssuer
0010359960001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000213 PA Practitioner - Family Practice 1052440716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

210 Ohio River Blvd
Baden, PA 15005-1914
Phone (724) 869-6002

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD035492EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Family Medicine CurrentSince Apr 4, 1986 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Family Medicine CurrentSince Apr 4, 1986 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

2299 Brodhead Rd
Aliquippa, PA 15001
Phone (724) 378-8484

210 Ohio River Blvd
Baden, PA 15005
Phone (724) 869-6002

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

Interoperability endpoints

  • Direct secure messaging: jamestatum@hvhs.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1083647564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 BRODHEAD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014674",
            "telephone_number": "724-378-8484",
            "fax_number": "724-773-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 BRODHEAD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014674",
            "telephone_number": "724-378-8484",
            "fax_number": "724-773-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "JAMES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD035492E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010359960001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.