Michael Francis Tatko, PA-C
Individual provider Active NPI Physician Assistant · North Lima, OH
NPI 1528067246 · NPPES record last updated Sep 10, 2019
Key facts
- NPI
- 1528067246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.005998RX (OH)
- Practice address
- 9471 Market St Ste a
North Lima, OH 44452-8702 - Phone
- (330) 726-7100
- Fax
- (330) 758-0347
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050518000474 | PA | Practitioner - Physician Assistant | 9537100722 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medicine Inc | Current |
Accepting new patients | |
| Upmc Community Medcine Inc | Current |
Accepting new patients | |
| Valley Medical Facilities Inc | Past | Accepting new patients | |
| Valley Medical Facilities Inc | Past | Accepting new patients |
Locations
875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA001555L | PA | |
| Physician Assistant | 363A00000X | 50.005998RX | OH | Yes |
Addresses
Primary practice location
9471 Market St Ste a
North Lima, OH 44452-8702
Mailing address
9471 Market St Ste a
North Lima, OH 44452-8702
Phone (330) 726-7100
Other providers in North Lima, OH
- Serenity Center of Youngstown
- Serenity Center of Youngstown, LLC
- Serenity Center of Youngstown, LLC
- Manuel Michael Spirtos
- Jodi Michelle Stewart
- Thebathybuilders.Comllc
- Thomas J Traikoff
- Lauren M Treharn
- Mallory Ann Ucchino
- Chad L Volovar
All providers in North Lima, OH · Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2019. 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.