NPIMap

Individual provider Active NPI

Christopher Tangen, D.O.

  • Sports Medicine (Family Medicine) Physician
  • South Euclid, OH
National Provider Identifier
1336344746
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35-009402 Issued in OH
Practice address
1611 S Green Rd Ste 160
South Euclid, OH 44121-6100
Phone
(440) 585-7146
Fax
(440) 585-7041
NPI assigned
Jun 15, 2007
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58.001840 OH
Sports Medicine (Family Medicine) Physician 207QS0010X 35-009402 OH Primary

Addresses

Primary practice location

1611 S Green Rd Ste 160
South Euclid, OH 44121-6100

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (440) 585-7146

Other identifiers 1

IdentifierTypeStateIssuer
2954576MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090520000005 OH Practitioner - Family Practice 4284783341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

27100 Chardon Rd
Suite 120
Richmond HTS, OH 44143-1116
Phone (440) 735-3655

900 N Leavitt Rd
Amherst, OH 44001-1137
Phone (440) 375-5280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.001840OHMDFamily Medicine Physician
35-009402OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Feb 6, 2025 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Feb 6, 2025 Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Sep 1, 2010 Accepting new patients
Lake Hospital System Inc. Past Accepting new patients
University Primary Care Practices Inc. Past Accepting new patients
Lake Hospital System Past Accepting new patients
University Hospitals Medical Practices Inc Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients

Locations

900 N Leavitt Rd
Amherst, OH 44001
Phone (440) 375-5280

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

7500 Auburn Rd
Ste 1200
Concord Township, OH 44077
Phone (440) 358-5400

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

4001 Carrick Dr
Ste 120
Medina, OH 44256
Phone (330) 426-8700

9000 Mentor Ave
Ste 101
Mentor, OH 44060
Phone (440) 974-4443

27100 Chardon Rd
#120
Richmond Hts, OH 44143
Phone (440) 585-6501

27100 Chardon Rd
#150
Richmond Hts, OH 44143
Phone (440) 347-9929

1611 S Green Rd
Ste 160
South Euclid, OH 44121
Phone (216) 297-2073

960 Clague Rd
Ste 1100B
Westlake, OH 44145
Phone (440) 250-5366

Interoperability endpoints

  • Direct secure messaging: ctangen37416@ehrdirect.uhhospitals.org

Organizations & group practices 10

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

Hospital & facility affiliations 7

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1336344746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-585-7146",
            "fax_number": "440-585-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 160",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441216100",
            "telephone_number": "440-585-7146",
            "fax_number": "440-585-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGEN",
        "first_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.001840",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35-009402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2954576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.