Individual provider Active NPI

Jennifer M. Tarr, M.D.

  • Internal Medicine Physician
  • Massillon, OH
National Provider Identifier
1164542122
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35089581 Issued in OH
Practice address
6724 Wales Ave NW
Massillon, OH 44646-9006
Phone
(330) 837-4264
Fax
(330) 837-9195
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35089581 OH Primary

Addresses

Primary practice location

6724 Wales Ave NW
Massillon, OH 44646-9006

Mailing address

6724 Wales Ave NW
Massillon, OH 44646-9006
Phone (330) 837-4264

Other identifiers 3

IdentifierTypeStateIssuer
TA4222551OtherOHMEDICARE PTAN
2783528MedicaidOH
TA4222552OtherOHMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000249 OH Practitioner - Internal Medicine 2567551286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care Inc.Group PAC ID 1052207727, 65 clinicians

Practice addresses (Care Compare)

6724 Wales Ave NW
Massillon, OH 44646-9006
Phone (330) 837-4264

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35089581OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Inc. CurrentSince Oct 6, 2025 Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Locations

944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281

1700 Boettler Rd
Ste 100
Green, OH 44685
Phone (330) 896-0009

6724 Wales Ave NW
Massillon, OH 44646
Phone (330) 837-4264

Interoperability endpoints

  • Direct secure messaging: jennifer.tarr@chci.eclinicaldirectplus.com
  • Direct secure messaging: jennifer.tarr@direct.aultman.org

Organizations & group practices 2

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 2

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1164542122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 WALES AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469006",
            "telephone_number": "330-837-4264",
            "fax_number": "330-837-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 WALES AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469006",
            "telephone_number": "330-837-4264",
            "fax_number": "330-837-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35089581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TA4222551",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2783528",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TA4222552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.