Jason R Tatka, DO
Individual provider Active NPI Pediatrics Physician · Chillicothe, OH
NPI 1285648477 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1285648477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 34-012050 (OH)
- Practice address
- 272 Hospital Rd
Chillicothe, OH 45601-9031 - Phone
- (740) 779-7500
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190828002848 | OH | Practitioner - Hospitalist |
4789653593 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-012050 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Academic Association, Inc. | Pediatrics | Current |
Accepting new patients |
| Akron Children'S Hospital | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Pediatrics | Current |
Accepting new patients |
| Mercy Health-Regional Medical Center LLC | Past | Accepting new patients | |
| Nationwide Children'S Hospital | Past | Accepting new patients | |
| Adena Health System | Past | Accepting new patients |
Locations
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
11100 Euclid Ave
Cleveland Heights, OH 44106
Dept L289
Columbus, OH 43260
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156
6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606
Interoperability endpoints
- jtatka114962@direct.chmca.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 34-012050 | OH | |
| Pediatrics Physician | 208000000X | 34-012050 | OH | Yes |
Addresses
Primary practice location
272 Hospital Rd
Chillicothe, OH 45601-9031
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200476730 | Medicaid | IN | |
| 2821398 | Medicaid | OH |
Other providers in Chillicothe, OH
- Tarun Tandon
- Anna Tantari
- Tapestry Telehealth PLLC
- Jerry Ray Tapp Jr.
- Edouard Joseph Tassy
- Tamira Tatum
- Eric Matthew Taylor
- Jacquelyn Marie Taylor
- Jillian Taylor
- Lacey Renee Taylor
All providers in Chillicothe, OH · Pediatrics Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.