Jeffrey Tanita, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200484 Issued in LA

Practice address

1136A N Pine Rd
Olla, LA 71465-4804

Phone

(318) 495-3880

Fax

(318) 495-3882

NPI assigned

Jun 11, 2006

Last updated

Sep 22, 2014By 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

Medicare fee-for-service enrollment

Enrolled in LA, WA, NV3 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

Specialty

Emergency Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt Grant General HospitalGroup PAC ID 1951290337, 15 clinicians

Klickitat County Public Hospital District No 1Group PAC ID 0648164269, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Grant General Hospital Hospital, Hawthorne, NV, CCN 291300
• Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316
• Mount Grant General Hospital Nursing home, CCN 29Z300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffery.tanita.1@11938.direct.athenahealth.com

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.

• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  Medicare reassignment Care Compare group NPD
• Abbeville Emergency Group LLC

  • Emergency Medicine Physician
  • Abbeville, LA
  • NPI 1760799290
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  Medicare reassignment NPD
• East Carroll Parish Hospital

  • General Acute Care Hospital
  • Lake Providence, LA
  • NPI 1982695441
  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974
  Medicare reassignment NPD
• Evangeline Clinical Services, Inc.

  dba Savoy Emergency Room Physician Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mamou, LA
  • NPI 1235510280
  Medicare reassignment NPD
• Northern Louisiana Emergency Physicians, LLP

  dba Northern Louisiana Physicians LLP

  • Emergency Medicine Physician
  • Ruston, LA
  • NPI 1588828172
  Medicare reassignment NPD
• Vermilion Emergency Group LLC

  • Emergency Medicine Physician
  • Kaplan, LA
  • NPI 1215161096
  Medicare reassignment NPD
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Health

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  Medicare reassignment NPD
• Klickitat County Public Hospital District No 1

  dba KVH Family Medicine

  • Clinic/Center
  • Goldendale, WA
  • NPI 1467530915
  Medicare reassignment NPD
• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Critical Access Hospital
  • Caliente, NV
  • NPI 1659423341
  Medicare reassignment NPD
• Northern Louisiana Emergency Physicians LLP

  dba Northern Louisiana Physicians LLP

  • Emergency Medicine Physician
  • Winnfield, LA
  • NPI 1497085690
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Health

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  Care Compare affiliation
• Mt Grant General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Hawthorne, NV
  • NPI 1598713240

  Nursing home

  Care Compare affiliation
• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  Care Compare affiliation

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1922040443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136A N PINE RD",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714654804",
            "telephone_number": "318-495-3880",
            "fax_number": "318-495-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136A N PINE RD",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "714654804",
            "telephone_number": "318-495-3880",
            "fax_number": "318-495-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANITA",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "200484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Smith, RDN, LDN
• Smotherman Inc (R & K Drugs)
• Rickey Smotherman, RPH
• Allison Kendrick Stelly, NP
• Surgeoncare Physicians of Louisiana, LLC
• Nuzhath Tasneem, M.D.

• Family Medicine Physician in Olla, LA
• Providers in Olla, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.