Individual provider Active NPI

Tana K. Saline, PA

  • Physician Assistant
  • Canton, OH
National Provider Identifier
1467603167
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003366RX
Practice address
4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645
Phone
(303) 754-4431
Fax
(330) 499-3056
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003366RX Primary
Physician Assistant 363A00000X OA002310 PA

Addresses

Primary practice location

4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645

Mailing address

4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645
Phone (330) 754-4431

Other names 1

  • Tana K. Keller Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114001612 OH Practitioner - Physician Assistant 4789744566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maternohio Clinical Associates LLCGroup PAC ID 4587695192, 56 clinicians

Practice addresses (Care Compare)

1315 W Lane Ave
Suite D
Columbus, OH 43221-3544
Phone (614) 457-4827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1467603167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 STEPHENS CIR NW STE 202",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183645",
            "telephone_number": "330-754-4431",
            "fax_number": "303-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 STEPHENS CIR NW STE 202",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183645",
            "telephone_number": "303-754-4431",
            "fax_number": "330-499-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINE",
        "first_name": "TANA",
        "middle_name": "K.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "50.003366RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANA",
            "last_name": "KELLER",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.