NPIMap

Individual provider Active NPI

Tanner Speakman

  • Physician Assistant
  • Sheffield Village, OH
National Provider Identifier
1912592205
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007040 Issued in OH
Practice address
5001 Transportation Dr
Sheffield Village, OH 44054-2850
Phone
(440) 329-2800
NPI assigned
Mar 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007040 OH Primary

Addresses

Primary practice location

5001 Transportation Dr
Sheffield Village, OH 44054-2850

Mailing address

5001 Transportation Dr
Sheffield Village, OH 44054-2850
Phone (440) 329-2800

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
I20210810001637 OH Practitioner - Physician Assistant 8527462779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

32800 Lorain Rd
North Ridgeville, OH 44039-3430

5901 E Royalton Rd
Broadview Heights, OH 44147-3532

630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.007040OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Aug 16, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 16, 2021 Accepting new patients
Baldwin Wallace University PastSince Mar 1, 2021 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

254 Cleveland Ave
Ste 101
Amherst, OH 44001
Phone (440) 723-5685

917 N Lake St
Ste 100
Amherst, OH 44001
Phone (440) 634-5640

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

26127 Lorain Rd
Ste 200B
North Olmsted, OH 44070
Phone (440) 743-8569

32800 Lorain Rd
Ste 1100
North Ridgeville, OH 44039
Phone (440) 329-2810

319 W Lorain St
Oberlin, OH 44074
Phone (440) 774-5518

Interoperability endpoints

  • Direct secure messaging: tspeakman28443@ehrdirect.uhhospitals.org

Organizations & group practices 5

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1912592205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 TRANSPORTATION DR",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440542850",
            "telephone_number": "440-329-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 TRANSPORTATION DR",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440542850",
            "telephone_number": "440-329-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKMAN",
        "first_name": "TANNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

Verify at the official NPI Registry.