Individual provider Active NPI

Thomas Tarn, D.O.

  • Anesthesiology Physician
  • Bingham Farms, MI
National Provider Identifier
1538101787
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5101011508 Issued in MI
Practice address
30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502
Phone
(248) 258-5058
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5101011508 MI Primary

Addresses

Primary practice location

30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502

Mailing address

5804 Stillwater LN
Midland, MI 48642-7036

Other identifiers 1

IdentifierTypeStateIssuer
11290267OtherMICAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ME, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040519000851 MI Practitioner - Anesthesiology 0749271732 Reassigns benefits to 1 organization
I20250506001913 ME Practitioner - Anesthesiology 0749271732 Reassigns benefits to 5 organizations
I20250624001909 TN Practitioner - Anesthesiology 0749271732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Anesthesia PCGroup PAC ID 8921044744, 214 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451

Hospital & facility affiliations

  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011508MIMDAnesthesiology Physician
6401TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Anesthesia PC Anesthesiology CurrentSince Jun 3, 2025 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Central Maine Medical Center CurrentSince Feb 27, 2025 Accepting new patients
Rumford Hospital CurrentSince Feb 27, 2025 Accepting new patients
Rumford Hospital CurrentSince Feb 27, 2025 Accepting new patients
Mid Michigan Anesthesiology Group, PC Anesthesiology CurrentSince Sep 16, 2010 Accepting new patients
Bridgton Hospital CurrentSince Feb 27, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Feb 27, 2025 Accepting new patients
Bridgton Hospital CurrentSince Feb 27, 2025 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Jun 3, 2025 Accepting new patients
Singing River Health System Past Accepting new patients
Northstar Anesthesia of Michigan II PC Anesthesiology Past Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

4400 Wellness Dr
Midland, MI 48640
Phone (989) 839-9494

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1538101787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 STILLWATER LN",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 220",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-258-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARN",
        "first_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101011508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11290267",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.