Larry D Tatum, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

F4585 Issued in TX

Practice address

1250 8TH Ave Ste 430
Fort Worth, TX 76104-4144

Phone

(817) 923-5558

Fax

(817) 923-0087

NPI assigned

Jun 22, 2006

Last updated

Feb 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ltatum460778@direct.sw.org

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.

• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment NPD Authorized official
• Texas Health Care PLLC

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1346306701
  Authorized official Same address or phone
• Texas Health Care PLLC

  • Otolaryngology Physician
  • Fort Worth, TX
  • NPI 1639441751
  Authorized official Same address or phone
• Texas Health Care PLLC

  • Interventional Pain Medicine Physician
  • Arlington, TX
  • NPI 1851985790
  Authorized official Same address or phone
• Texas Health Care PLLC

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1851985931
  Authorized official Same address or phone
• Texas Health Care PLLC

  • Interventional Pain Medicine Physician
  • Cleburne, TX
  • NPI 1912591843
  Authorized official Same address or phone
• Texas Health Care, P.L.L.C.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1003143165
  Authorized official Same address or phone
• Texas Health Care, P.L.L.C.

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1033275318
  Authorized official Same address or phone
• Texas Health Care, P.L.L.C.

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1033284351
  Authorized official Same address or phone
• Texas Health Care, P.L.L.C.

  • Otolaryngology Physician
  • Fort Worth, TX
  • NPI 1043554306
  Authorized official Same address or phone
• Texas Health Care, P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Keller, TX
  • NPI 1043554397
  Authorized official Same address or phone
• Texas Health Care, P.L.L.C.

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1063720654
  Authorized official Same address or phone

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1437195609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-921-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 430",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044144",
            "telephone_number": "817-923-5558",
            "fax_number": "817-923-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "LARRY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "F4585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047134405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047134403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "160059746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Tate
• Laura Tatone
• Belinda Tatum
• Carmen Marcella Tatum
• Haylee Tatum
• Leilani Tatum, NP
• Lyndsey Garrison Tatum, M.S., CCC-SLP
• Ross Tatum, M.D.
• Ryan Michael Taube, DO
• Kelly Tausend, APRN-FNP

• Gynecology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.